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1659602811
MICHAEL DOUGLAS HEGEWALD
VANCOUVER, WA
NPI
1659602811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: WA ma60117362)
Enumeration Date
2010-01-27
Last Update Date
2010-01-27
Business Address
-- MICHAEL DOUGLAS HEGEWALD
2004 BROADWAY ST
VANCOUVER, WA 98663-3327
Phone number: 360-993-8868
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Mailing Address
-- MICHAEL DOUGLAS HEGEWALD
4204 NE 44TH ST
VANCOUVER, WA 98661
Phone number: 360-921-8377
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