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Individual

DR. WAYNE MARK LATIMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
739 SOUTH MISSION ST., WENATCHEE, WA 98801
(509) 665-7208
Mailing address
603 N MISSION ST, WENATCHEE, WA 98801-2049
(509) 884-4357
(509) 888-4601

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003031
WA
111NS0005X
Sports Physician Chiropractor
3606
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0159778
WA ST. LABOR AND INDUSTRY
WA
Enumeration date
02/13/2007
Last updated
04/27/2016
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