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Individual

MARK MICHAEL ESCHBACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
326 COMMERCIAL ST, RAYMOND, WA 98577-2416
(360) 942-2414
Mailing address
PO BOX 89, RAYMOND, WA 98577-0089
(360) 942-2414

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18219
L&I NUMBER
WA
01
ES5713
REGENCE NUMBER
WA
Enumeration date
01/03/2007
Last updated
07/09/2007
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