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1124276092
PAMELA RAYE MOODY
VANCOUVER, WA
NPI
1124276092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: WA MA00013246)
Enumeration Date
2008-09-04
Last Update Date
2008-09-04
Business Address
-- PAMELA RAYE MOODY LMP
2004 BROADWAY ST
VANCOUVER, WA 98663-3327
Phone number: 360-993-8868
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Mailing Address
-- PAMELA RAYE MOODY LMP
2004 BROADWAY ST
VANCOUVER, WA 98663-3327
Phone number: 360-993-8868
Copy
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