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1154096444
LEANE MICHELE IMHOLT
ABERDEEN, WA
NPI
1154096444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2021-08-10
Last Update Date
2021-08-10
Business Address
LEANE MICHELE IMHOLT
224 E WISHKAH ST
ABERDEEN, WA 98520-6513
Phone number: 360-532-9050
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Mailing Address
LEANE MICHELE IMHOLT
224 E WISHKAH ST
ABERDEEN, WA 98520-6513
Phone number: 360-532-9050
Copy
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