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1114325222
SALLY MARIE WADDLE
VANCOUVER, WA
NPI
1114325222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60601345)
Enumeration Date
2014-12-06
Last Update Date
2021-12-21
Business Address
Mrs. SALLY MARIE WADDLE PA-C
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6055
Phone number: 360-418-6001
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Mailing Address
Mrs. SALLY MARIE WADDLE PA-C
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6055
Phone number: 360-418-6001
Copy
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