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1164960159
FALLON BOONE
ORTING, WA
NPI
1164960159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP60546971)
Enumeration Date
2017-02-09
Last Update Date
2017-02-09
Business Address
-- FALLON BOONE
320 WASHINGTON AVE N
ORTING, WA 98360-8404
Phone number: 360-893-2246
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Mailing Address
-- FALLON BOONE
121 WHITESELL ST NE
ORTING, WA 98360-8410
Phone number: 360-893-6500
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