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1609223478
ANNA PENGRA
VANCOUVER, WA
NPI
1609223478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT5651)
Enumeration Date
2016-05-20
Last Update Date
2016-05-20
Business Address
-- ANNA PENGRA MAT, LAT
10402 NE 88TH ST
VANCOUVER, WA 98662-2178
Phone number: 806-518-2014
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Mailing Address
-- ANNA PENGRA MAT, LAT
10402 NE 88TH ST
VANCOUVER, WA 98662-2178
Phone number: 806-518-2014
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