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Individual

DEANNE L RISTAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RMA

Contact information

Practice address
617 BENTON ST, OMAK, WA 98841-9636
(509) 422-7541
(509) 422-7471
Mailing address
617 BENTON ST, OMAK, WA 98841-9636
(509) 422-7541
(509) 422-7471

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary
175315

Other

Enumeration date
02/04/2020
Last updated
02/04/2020
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