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1124876776
LUCIENE TEIXEIRA CALLON
BLAINE, WA
NPI
1124876776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-08
Last Update Date
2024-05-08
Business Address
LUCIENE TEIXEIRA CALLON
288 MARTIN ST
BLAINE, WA 98230-4045
Phone number: 360-788-4228
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Mailing Address
LUCIENE TEIXEIRA CALLON
288 MARTIN ST # 1
BLAINE, WA 98230-4045
Phone number: 360-788-4228
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