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1467639195
STACEY JO DOWTON
MOSES LAKE, WA
NPI
1467639195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: WA MA00022357)
Enumeration Date
2008-01-24
Last Update Date
2008-01-24
Business Address
-- STACEY JO DOWTON L.M.P
529 E BROADWAY AVE STE B
MOSES LAKE, WA 98837-1723
Phone number: 509-855-1180
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Mailing Address
-- STACEY JO DOWTON L.M.P
601 S PIONEER WAY SUITE F - PMB-332
MOSES LAKE, WA 98837-4801
Phone number: 509-855-1180
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