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Individual

COY PATRAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
210 W SPRAGUE AVE, SPOKANE, WA 99201-3627
(509) 747-8224
Mailing address
7411 E OREGON RD, ELK, WA 99009-8714

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00031952
WA

Other

Enumeration date
02/13/2007
Last updated
07/08/2007
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