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Individual

GAYLEN DAHLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
8300 NE 137TH AVE, VANCOUVER, WA 98682-3085
(360) 883-1865
(360) 883-6427
Mailing address
4010 SE 170TH CT, VANCOUVER, WA 98683-8801
(360) 892-0036

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00066350
WA

Other

Enumeration date
06/18/2012
Last updated
06/18/2012
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