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1720720378
KATHERINE MARIE PETERSON
VANCOUVER, WA
NPI
1720720378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WA DH6032971)
Enumeration Date
2022-04-12
Last Update Date
2022-04-12
Business Address
KATHERINE MARIE PETERSON
700 SE 160TH AVE STE 121
VANCOUVER, WA 98684-8910
Phone number: 360-253-3480
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Mailing Address
KATHERINE MARIE PETERSON
12521 NE TIFFANY DR
VANCOUVER, WA 98684-5867
Phone number: 360-213-3860
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