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1568841617
BRANDI MICHELLE CROCKETT
GRANITE FALLS, WA
NPI
1568841617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: WA L-58067)
Enumeration Date
2015-05-22
Last Update Date
2015-05-22
Business Address
Mrs. BRANDI MICHELLE CROCKETT IBCLC
202 N BOGART AVE
GRANITE FALLS, WA 98252-8406
Phone number: 425-327-7491
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Mailing Address
Mrs. BRANDI MICHELLE CROCKETT IBCLC
202 N BOGART AVE
GRANITE FALLS, WA 98252-8406
Phone number: 425-327-7491
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