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1801344353
DESIREE MICHELLE DELMARK
FEDERAL WAY, WA
NPI
1801344353
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Former Name
DESIREE MICHELLE MOATS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP60135330)
Enumeration Date
2016-09-13
Last Update Date
2016-09-13
Business Address
DESIREE MICHELLE DELMARK LPN
33811 9TH AVE S
FEDERAL WAY, WA 98003-6707
Phone number: 253-533-9050
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Mailing Address
DESIREE MICHELLE DELMARK LPN
143 SHERMAN ST NW
OLYMPIA, WA 98502-5449
Phone number: 360-970-6595
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