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1700074721
JAMIE BRACKENBURY
KENNEWICK, WA
NPI
1700074721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WA HL00007968)
Enumeration Date
2007-10-04
Last Update Date
2007-10-04
Business Address
-- JAMIE BRACKENBURY RDH
9202 W GAGE BLVD APT R202
KENNEWICK, WA 99336-7138
Phone number: 208-412-9114
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Mailing Address
-- JAMIE BRACKENBURY RDH
9202 W GAGE BLVD APT R202
KENNEWICK, WA 99336-7138
Phone number: 208-412-9114
Copy
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