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1760599609
JEWELENE RAE PATTULLO
VANCOUVER, WA
NPI
1760599609
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Former Name
JEWELENE RAE HENLINE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: WA DO00001723)
Enumeration Date
2006-08-24
Last Update Date
2007-07-08
Business Address
Mrs. JEWELENE RAE PATTULLO
14406 NE 20TH AVE
VANCOUVER, WA 98686-1448
Phone number: 360-418-6001
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Mailing Address
Mrs. JEWELENE RAE PATTULLO
4805 NE 52ND CIR
VANCOUVER, WA 98661-7805
Phone number: 360-695-4912
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