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1952833683
ELLYSE RENEE RENGSTORF
POULSBO, WA
NPI
1952833683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD61074527)
Enumeration Date
2017-03-31
Last Update Date
2023-08-01
Business Address
ELLYSE RENEE RENGSTORF
19245 7TH AVE NE
POULSBO, WA 98370-6551
Phone number: 360-782-3501
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Mailing Address
ELLYSE RENEE RENGSTORF
9621 RIDGETOP BLVD NW
SILVERDALE, WA 98383-8502
Phone number: 360-782-3600
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