Individual
JOHN M DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1516 HUDSON ST STE 105, LONGVIEW, WA 98632-3046
(360) 423-6049
(360) 425-3690
Mailing address
1516 HUDSON ST STE 105, LONGVIEW, WA 98632-3046
(360) 423-6049
(360) 425-3690
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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