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1154030401
MISTY MARIE CRICK-GOODMAN
BONNEY LAKE, WA
NPI
1154030401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246Z00000X Specialist/Technologist, Other
(Licence: CA 9756)
Enumeration Date
2022-11-15
Last Update Date
2022-11-15
Business Address
Mrs. MISTY MARIE CRICK-GOODMAN LE
20622 108TH STREET CT E
BONNEY LAKE, WA 98391-7969
Phone number: 253-332-3173
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Mailing Address
Mrs. MISTY MARIE CRICK-GOODMAN LE
20622 108TH STREET CT E
BONNEY LAKE, WA 98391-7969
Phone number: 253-332-3173
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