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1295960144
JACQUELINE KAY DIERCKS
VANCOUVER, WA
NPI
1295960144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA 460776H)
Enumeration Date
2009-05-21
Last Update Date
2009-05-21
Business Address
Ms. JACQUELINE KAY DIERCKS
6511 NE 18TH ST
VANCOUVER, WA 98661-6869
Phone number: 360-759-4917
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Mailing Address
Ms. JACQUELINE KAY DIERCKS
PO BOX 2277
VANCOUVER, WA 98668-2277
Phone number: 360-759-4917
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