NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1043456130
COOPERSTEIN
KRISTA
ANN
700 NE 87TH AVE
VANCOUVER
WA
986641913
1467764647
MANISCALCO
DERK
LEE
15409 NE 89TH ST.
VANCOUVER
WA
986820000
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