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Individual

GERALD M LOSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
16714 MERIDIAN E, SUITE #6, PUYALLUP, WA 98375-6143
(253) 770-7263
(253) 445-2456
Mailing address
15311 CANYON RD E, SUITE #6, PUYALLUP, WA 98375-7473
(253) 770-7263
(253) 445-2456

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002634
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46388
DEPT. LABOR & INDUSTRIES
WA
01
LO4749
REGENCE
WA
Enumeration date
03/30/2007
Last updated
12/05/2016
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