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1740005347
KELLI BURGAD
VANCOUVER, WA
NPI
1740005347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA 6108360)
Enumeration Date
2024-11-19
Last Update Date
2024-11-19
Business Address
KELLI BURGAD LPN
2621 NE 134TH ST STE 140
VANCOUVER, WA 98686-3036
Phone number: 360-504-0122
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Mailing Address
KELLI BURGAD LPN
1401 NW 113TH ST
VANCOUVER, WA 98685-3758
Phone number: 503-572-3560
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