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1548504186
IVA HAUKENES
PUYALLUP, WA
NPI
1548504186
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Former Name
IVA FEDDERSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA 00002768)
Enumeration Date
2012-11-20
Last Update Date
2012-11-20
Business Address
Ms. IVA HAUKENES MS CCC-SLP
214 W MAIN
PUYALLUP, WA 98371-5328
Phone number: 253-841-8753
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Mailing Address
Ms. IVA HAUKENES MS CCC-SLP
8523 67TH AVE E
PUYALLUP, WA 98371-6405
Phone number: 253-250-1293
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