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1376084848
MELISSA ROSE BERNT
STEVENSON, WA
NPI
1376084848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: WA MA00020546)
Enumeration Date
2017-03-16
Last Update Date
2017-03-16
Business Address
Ms. MELISSA ROSE BERNT LMP
77 SW RUSSELL AVE
STEVENSON, WA 98648-9198
Phone number: 360-521-1523
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Mailing Address
Ms. MELISSA ROSE BERNT LMP
PO BOX 302 33 EAST CASCADE DRIVE
NORTH BONNEVILLE, WA 98639-0302
Phone number: 360-521-1523
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