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Individual

VASILE RUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
19907 NE 104TH AVE, BATTLE GROUND, WA 98604-6174
(360) 723-0815
(360) 723-0817
Mailing address
19907 NE 104TH AVE, BATTLE GROUND, WA 98604-6174
(360) 723-0815
(360) 723-0817

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
750333
WA

Other

Enumeration date
09/11/2013
Last updated
09/11/2013
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