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Individual

MR. LENARD GOBIN DEOCHAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2802 COLUMBIA ST, VANCOUVER, WA 98660-2220
(360) 906-0015
(360) 906-0023
Mailing address
2802 COLUMBIA ST, VANCOUVER, WA 98660-2220
(360) 906-0015
(360) 906-0023

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
278500
OR
05
5047667
WA
01
8942843
CRIME VICTIM COMP. PROGRA
WA
Enumeration date
02/02/2007
Last updated
07/08/2007
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