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1467527051
JEAN L CARLSON
VANCOUVER, WA
NPI
1467527051
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Former Name
JEAN L POFFENROTH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI0001455)
Enumeration Date
2006-11-21
Last Update Date
2007-07-08
Business Address
-- JEAN L CARLSON RD
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664-3200
Phone number: 360-514-3049
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Mailing Address
-- JEAN L CARLSON RD
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664-3200
Phone number: 360-514-3409
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