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1992416317
MARTHA MORENO FLOCK
KELSO, WA
NPI
1992416317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA 00050860)
Enumeration Date
2022-12-06
Last Update Date
2022-12-06
Business Address
MARTHA MORENO FLOCK
305 PACIFIC AVE S
KELSO, WA 98626-1638
Phone number: 360-425-5378
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Mailing Address
MARTHA MORENO FLOCK
604 N 12TH AVE
KELSO, WA 98626-4759
Phone number: 360-578-1672
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