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1467856013
AMY HERZOG
VANCOUVER, WA
NPI
1467856013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: WA 60060516)
Enumeration Date
2014-10-10
Last Update Date
2014-10-10
Business Address
AMY HERZOG RDA
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6053
Phone number: 360-896-4484
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Mailing Address
AMY HERZOG RDA
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6053
Phone number:
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