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1982287587
EDWARD LEE VANESSEN
VANCOUVER, WA
NPI
1982287587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-30
Last Update Date
2021-04-30
Business Address
EDWARD LEE VANESSEN
7905 NE 124TH AVE
VANCOUVER, WA 98682-4023
Phone number: 360-609-6664
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Mailing Address
EDWARD LEE VANESSEN
7905 NE 124TH AVE
VANCOUVER, WA 98682-4023
Phone number: 360-609-6664
Copy
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