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1477601789
KRISTINE RAE VANDERMARK POWELL
OLYMPIA, WA
NPI
1477601789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: WA PY00002568)
Enumeration Date
2007-01-05
Last Update Date
2007-07-08
Business Address
Dr. KRISTINE RAE VANDERMARK POWELL PsyD
1800 COOPER POINT RD SW BLDG 17
OLYMPIA, WA 98502-1178
Phone number: 360-352-4602
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Mailing Address
Dr. KRISTINE RAE VANDERMARK POWELL PsyD
7825 CANTERWOOD DR SE
OLYMPIA, WA 98513-6520
Phone number: 360-459-3447
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