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Individual

JESUS JOSEPH AGUAYO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(509) 434-7064
Mailing address
13357 W GREENFIELD RD, NINE MILE FALLS, WA 99026-9395

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN60092217
WA

Other

Enumeration date
06/10/2021
Last updated
06/10/2021
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