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1720190440
BONNIE JEAN LARSON
VANCOUVER, WA
NPI
1720190440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WA DH00002272)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- BONNIE JEAN LARSON RDH
14406 NE 20TH AVE
VANCOUVER, WA 98686-1448
Phone number: 360-571-3139
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Mailing Address
-- BONNIE JEAN LARSON RDH
19019 NE 118TH AVE
BATTLE GROUND, WA 98604-9227
Phone number: 360-687-2340
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