CONNIE ML IVIE

VANCOUVER, WA
NPI1538234893
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WA  DH00004044)
Enumeration Date2006-11-22
Last Update Date2007-07-08
Business Address
Mrs. CONNIE ML IVIE RDH
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6053
Phone number: 360-896-4484
Mailing Address
Mrs. CONNIE ML IVIE RDH
PO BOX 897
BRUSH PRAIRIE, WA 98606
Phone number: 360-896-6215
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