Individual
MR. GORDON CURTIS SPROUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14040 15TH AVE NE, APT. 22E, SEATTLE, WA 98125-3183
(916) 807-0402
Mailing address
14040 15TH AVE NE, APT. 22E, SEATTLE, WA 98125-3183
(916) 807-0402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IR60597021
WA
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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