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1336780741
KAIJA BERGDALE
MARYSVILLE, WA
NPI
1336780741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: WA 61094008)
Enumeration Date
2019-10-07
Last Update Date
2021-04-15
Business Address
KAIJA BERGDALE
4317 76TH ST NE
MARYSVILLE, WA 98270-3768
Phone number: 360-965-0225
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Mailing Address
KAIJA BERGDALE
22234 C80
SIOUX CITY, IA 51108-8627
Phone number:
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