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1609990514
JULIE ANN WIRTA
VANCOUVER, WA
NPI
1609990514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: WA 602 164 746)
Enumeration Date
2007-03-17
Last Update Date
2007-07-08
Business Address
-- JULIE ANN WIRTA
4916 NE ST JOHNS RD
VANCOUVER, WA 98661-2547
Phone number: 360-609-2773
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Mailing Address
-- JULIE ANN WIRTA
4916 NE ST JOHNS RD
VANCOUVER, WA 98661-2547
Phone number: 360-609-2773
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