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1962231670
LACEY DAWN HENDRICKSON
VANCOUVER, WA
NPI
1962231670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WA DH61571364)
Enumeration Date
2024-07-31
Last Update Date
2024-07-31
Business Address
LACEY DAWN HENDRICKSON RDH
700 SE 160TH AVE STE 121
VANCOUVER, WA 98684-8910
Phone number: 360-253-3480
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Mailing Address
LACEY DAWN HENDRICKSON RDH
146 SYLVAN WAY
LONGVIEW, WA 98632-9628
Phone number: 360-747-0177
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