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1639377930
GEORGE RUSSELL CHURCH
VANCOUVER, WA
NPI
1639377930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WA 6155)
Enumeration Date
2007-07-07
Last Update Date
2007-07-08
Business Address
Dr. GEORGE RUSSELL CHURCH D.M.D.
1412 NE 134TH ST SUITE 140
VANCOUVER, WA 98685-2719
Phone number: 360-574-4007
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Mailing Address
Dr. GEORGE RUSSELL CHURCH D.M.D.
1412 NE 134TH ST SUITE 140
VANCOUVER, WA 98685-2719
Phone number: 360-574-4007
Copy
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