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Organization
DAVID W AGNOR PHD PC
Active
Organization
DAVID W AGNOR PHD PC
Active
Other names
Senior Connections
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W AGNOR PHD (EXECUTIVE DIRECTOR)
(360) 253-4912
Entity
Organization
Contact information
Practice address
9340 NE 76TH ST, VANCOUVER, WA 98662-3721
(360) 253-4912
(360) 253-5170
Mailing address
9340 NE 76TH ST, VANCOUVER, WA 98662-3721
(360) 253-4912
(360) 253-5170
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PY00001983
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7089816
—
WA
Enumeration date
04/07/2008
Last updated
04/07/2008
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