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Individual

HOLIDAY ANNE SLOAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
165 RUFF ROAD, WAUCONDA, WA 98859
(509) 486-4909
(509) 486-2423
Mailing address
PO BOX 85, WAUCONDA, WA 98859-0085
(509) 486-4909
(509) 486-2423

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00020677
WA

Other

Enumeration date
03/07/2007
Last updated
07/08/2007
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