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Individual

MR. MICHAEL JOHN PRITCHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.P.

Contact information

Practice address
42 LOST RIVER RD, MAZAMA, WA 98833-9707
(509) 996-3960
(509) 997-0697
Mailing address
531 LOST RIVER RD, MAZAMA, WA 98833-9734
(509) 996-3960
(509) 997-0697

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00019746
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0178378
LABOR&INDUSTRIES
WA
Enumeration date
02/24/2007
Last updated
07/08/2007
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