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1346895869
STACI A BERMUDEZ
POULSBO, WA
NPI
1346895869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WA HL60609954)
Enumeration Date
2019-08-02
Last Update Date
2019-08-02
Business Address
STACI A BERMUDEZ RDH
2235 NE CASTLE DR
POULSBO, WA 98370-8068
Phone number: 206-745-3808
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Mailing Address
STACI A BERMUDEZ RDH
3377 BETHEL RD SE # 107-155
PORT ORCHARD, WA 98366-5608
Phone number: 360-602-9493
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