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1225738859
HEATHER ANN IVY
SEATTLE, WA
NPI
1225738859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA CO61296221)
Enumeration Date
2023-03-02
Last Update Date
2023-12-04
Business Address
HEATHER ANN IVY CO 61296221
9650 15TH AVE SW
SEATTLE, WA 98106-2576
Phone number: 206-965-1055
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Mailing Address
HEATHER ANN IVY CO 61296221
9650 15TH AVE SW
SEATTLE, WA 98106-2576
Phone number: 206-965-1055
Copy
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