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1417060815
ROSE MARIE MCCULLOUGH
VANCOUVER, WA
NPI
1417060815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WA DH00002986)
Enumeration Date
2006-08-17
Last Update Date
2021-12-29
Business Address
ROSE MARIE MCCULLOUGH RDH
14406 NE 20TH AVE
VANCOUVER, WA 98686-1448
Phone number: 360-571-3139
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Mailing Address
ROSE MARIE MCCULLOUGH RDH
41920 NW CHILTON DR
WOODLAND, WA 98674-3010
Phone number: 360-225-3109
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