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Individual

MRS. MANDY LYNN SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPC

Contact information

Practice address
210 W SPRAGUE AVE, SPOKANE, WA 99201-3627
(509) 747-8224
(509) 747-0609
Mailing address
210 W SPRAGUE AVE, SPOKANE, WA 99201-3627
(509) 747-8224
(509) 747-0609

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG60203029
WA

Other

Enumeration date
11/07/2018
Last updated
11/07/2018
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