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Individual

MRS. GWENDOLYN ANNE MARTINDALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT-BC

Contact information

Practice address
900 SE PARK CREST AVE, APT. R-198, VANCOUVER, WA 98683-8332
(360) 624-3444
Mailing address
PO BOX 87147, VANCOUVER, WA 98687-7147

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/25/2008
Last updated
08/25/2008
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