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Individual

JOHN J CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
65 N KELLER, REPUBLIC, WA 99166-8804
(509) 775-3364
(509) 775-8906
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
(509) 684-5286

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG60806753
WA

Other

Enumeration date
12/28/2017
Last updated
12/28/2017
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