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1841042496
KAYLENE HANSEN
COLVILLE, WA
NPI
1841042496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA CO61536110)
Enumeration Date
2024-04-04
Last Update Date
2025-01-07
Business Address
Mrs. KAYLENE HANSEN CO61536110
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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Mailing Address
Mrs. KAYLENE HANSEN CO61536110
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
Copy
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