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Individual

ALLISON MARIE RAPHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
7031 LA VISTA DR SW, OLYMPIA, WA 98512-2154
(360) 261-3747
Mailing address
7031 LA VISTA DR SW, OLYMPIA, WA 98512-2154
(360) 261-3747

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60301244
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DH60301244
DEPARTMENT OF HEALTH
WA
Enumeration date
01/15/2018
Last updated
01/15/2018
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