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1225475395
MARK AUSTIN
VANCOUVER, WA
NPI
1225475395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WA DE8705)
Enumeration Date
2013-05-30
Last Update Date
2013-05-30
Business Address
-- MARK AUSTIN
2100 SE 164TH AVE. SUITE D102
VANCOUVER, WA 98683
Phone number: 360-882-1647
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Mailing Address
-- MARK AUSTIN
2100 SE 164TH AVE. SUITE D102
VANCOUVER, WA 98683
Phone number:
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