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1972075695
KYLIE REVIS
LONGVIEW, WA
NPI
1972075695
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Former Name
KYLIE PHILLIPS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: WA 60003572)
Enumeration Date
2018-12-19
Last Update Date
2018-12-19
Business Address
KYLIE REVIS CNA
720 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-423-0203
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Mailing Address
KYLIE REVIS CNA
921 14TH AVE
LONGVIEW, WA 98632-2316
Phone number:
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