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1750716460
AMANDA G HOGAN
TACOMA, WA
NPI
1750716460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
(Licence: WA 60180023)
Enumeration Date
2013-09-12
Last Update Date
2013-09-12
Business Address
AMANDA G HOGAN RDA
646 S STATE ST
TACOMA, WA 98405-3036
Phone number: 253-227-3571
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Mailing Address
AMANDA G HOGAN RDA
646 S STATE ST
TACOMA, WA 98405-3036
Phone number: 253-227-3571
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