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1295383479
BLAINE POWELL
VANCOUVER, WA
NPI
1295383479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Additional Taxonomies
251J00000X Nursing Care
Enumeration Date
2019-08-30
Last Update Date
2019-08-30
Business Address
BLAINE POWELL
4900 NE 141ST AVE
VANCOUVER, WA 98682-6319
Phone number: 360-635-3267
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Mailing Address
BLAINE POWELL
4900 NE 141ST AVE
VANCOUVER, WA 98682-6319
Phone number: 360-635-3265
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