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1780086603
ALICE CARROLL
CENTRALIA, WA
NPI
1780086603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WA rn00163862)
Enumeration Date
2014-09-23
Last Update Date
2014-09-23
Business Address
Ms. ALICE CARROLL
2428 W REYNOLDS AVE
CENTRALIA, WA 98531-4554
Phone number: 360-330-9444
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Mailing Address
Ms. ALICE CARROLL
3106 VISTA VERDE LN SW
OLYMPIA, WA 98512-1448
Phone number: 406-370-0616
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