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1760595193
TYKA L BRANNAN
VANCOUVER, WA
NPI
1760595193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: WA 0764)
Enumeration Date
2006-08-17
Last Update Date
2007-07-08
Business Address
-- TYKA L BRANNAN ptda assistant
14406 NE 20TH AVE
VANCOUVER, WA 98686-1448
Phone number: 360-571-3139
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Mailing Address
-- TYKA L BRANNAN ptda assistant
305 COWLITZ WAY
KELSO, WA 98626-4109
Phone number: 360-571-3139
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