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1740203165
CHARLENE RENEE WALLOCH
VANCOUVER, WA
NPI
1740203165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WA DH00004252)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
Ms. CHARLENE RENEE WALLOCH R.D.H.
14406 NE 20TH AVE
VANCOUVER, WA 98686-1448
Phone number: 360-571-3139
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Mailing Address
Ms. CHARLENE RENEE WALLOCH R.D.H.
1509 NW 137TH ST
VANCOUVER, WA 98685-1805
Phone number: 360-571-3139
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