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1700058716
JANICE RAYE FORESYTH
YAKIMA, WA
NPI
1700058716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: WA A430500)
Enumeration Date
2008-03-31
Last Update Date
2008-03-31
Business Address
Mrs. JANICE RAYE FORESYTH
408 NORTH 55TH AVE
YAKIMA, WA 98908
Phone number: 509-972-0965
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Mailing Address
Mrs. JANICE RAYE FORESYTH
408 NORTH 55TH AVE
YAKIMA, WA 98908
Phone number: 509-972-0965
Copy
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