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Individual

MR. SPENCER BLOSL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.M.P

Contact information

Practice address
355 LINHART AVENUE NE, NAPAVINE, WA 98565
(360) 266-8800
(360) 266-8700
Mailing address
PO BOX 329, NAPAVINE, WA 98565-0329
(360) 266-8800
(360) 266-8700

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60231466
WA

Other

Enumeration date
09/12/2011
Last updated
09/12/2011
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