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1407192073
ANNETTE ALLISON TACKE
LONGVIEW, WA
NPI
1407192073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WA DH00007476)
Enumeration Date
2012-12-29
Last Update Date
2012-12-29
Business Address
ANNETTE ALLISON TACKE RDH
115 KIRKLAND RD
LONGVIEW, WA 98632-0701
Phone number: 253-653-0042
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Mailing Address
ANNETTE ALLISON TACKE RDH
115 KIRKLAND RD
LONGVIEW, WA 98632-0701
Phone number: 253-653-0042
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