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1912390527
AMANDA PERGRIM
AUBURN, WA
NPI
1912390527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: WA 60523826)
Enumeration Date
2015-03-06
Last Update Date
2015-03-06
Business Address
-- AMANDA PERGRIM LMP
12727 SE 318TH WAY
AUBURN, WA 98092-3672
Phone number: 253-569-8215
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Mailing Address
-- AMANDA PERGRIM LMP
12727 SE 318TH WAY
AUBURN, WA 98092-3672
Phone number: 253-569-8215
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