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1316076797
BETHANY MCILVAIN
VANCOUVER, WA
NPI
1316076797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: WA ma00019427)
Enumeration Date
2007-03-03
Last Update Date
2007-07-08
Business Address
-- BETHANY MCILVAIN L.M.P.
2006 MAIN ST
VANCOUVER, WA 98660-2637
Phone number: 360-906-0826
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Mailing Address
-- BETHANY MCILVAIN L.M.P.
2006 MAIN ST
VANCOUVER, WA 98660-2637
Phone number: 360-906-0826
Copy
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