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Organization
SUNDOWN M RANCH
Active
Organization
SUNDOWN M RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LOES SUDP, MBA (DIRECTOR OF OPERATIONS)
(509) 969-0092
Entity
Organization
Contact information
Practice address
2280 STATE ROUTE 821, YAKIMA, WA 98901-8302
(509) 457-0990
(509) 453-5313
Mailing address
PO BOX 217, SELAH, WA 98942-0217
(509) 457-0990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/14/2021
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