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1134886880
JULIE A WALLACE
LONGVIEW, WA
NPI
1134886880
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Other Name
JULIE A DOUMIT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: WA NC60038585)
Enumeration Date
2021-11-17
Last Update Date
2021-11-17
Business Address
JULIE A WALLACE
720 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-423-0203
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Mailing Address
JULIE A WALLACE
PO BOX 1847
LONGVIEW, WA 98632-8140
Phone number: 360-423-0203
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