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Individual

JOHN H KABOSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
401 S MAIN ST, DEER PARK, WA 99006-8238
(509) 444-8200
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60583458
WA
363LF0000X
Family Nurse Practitioner
AP60583458
WA
363LF0000X
Family Nurse Practitioner
CNP-02157
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0351875
L&I
WA
05
2047673
WA
Enumeration date
01/03/2012
Last updated
11/09/2021
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