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1134845118
RAEGAN KATHLEEN CLARK
SPOKANE, WA
NPI
1134845118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WA DH60933604)
Enumeration Date
2022-10-12
Last Update Date
2022-10-12
Business Address
RAEGAN KATHLEEN CLARK RDH
3919 N MAPLE ST
SPOKANE, WA 99205-1349
Phone number: 509-444-8200
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Mailing Address
RAEGAN KATHLEEN CLARK RDH
611 N IRON BRIDGE WAY
SPOKANE, WA 99202-4932
Phone number: 509-444-8888
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