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1538303284
SUSANNAH FAYE BOHANNON
OLYMPIA, WA
NPI
1538303284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE60034344)
Enumeration Date
2009-04-24
Last Update Date
2009-04-24
Business Address
Dr. SUSANNAH FAYE BOHANNON DMD
4210 MARTIN WAY E #101
OLYMPIA, WA 98516-5325
Phone number: 360-455-9544
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Mailing Address
Dr. SUSANNAH FAYE BOHANNON DMD
4210 MARTIN WAY E #101
OLYMPIA, WA 98516-5325
Phone number: 360-455-9544
Copy
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