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1568729200
BRIANNA MARIE PRUTZ
VANCOUVER, WA
NPI
1568729200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: WA ma00025222)
Enumeration Date
2012-04-19
Last Update Date
2014-12-01
Business Address
-- BRIANNA MARIE PRUTZ
903 MAIN ST
VANCOUVER, WA 98660-3135
Phone number: 360-936-2238
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Mailing Address
-- BRIANNA MARIE PRUTZ
7510 NE 34TH AVE #7
VANCOUVER, WA 98665-8136
Phone number: 360-936-2238
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