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1205942166
MI GYUNG MADDEN
VANCOUVER, WA
NPI
1205942166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WA 5757)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
Mrs. MI GYUNG MADDEN RDH
14406 NE 20TH AVE
VANCOUVER, WA 98686-1448
Phone number: 360-571-3139
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Mailing Address
Mrs. MI GYUNG MADDEN RDH
27407 NE 14TH CT.
RIDGEFIELD, WA 98642
Phone number: 360-887-2934
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