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Individual

EVAN MEHLENBACHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CSB

Contact information

Practice address
72812 E 279 PRNE, RICHLAND, WA 99352-7787
(509) 374-3800
(509) 628-9510
Mailing address
72812 E 279 PRNE, RICHLAND, WA 99352-7787
(509) 374-3800
(509) 628-9510

Taxonomy

Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary

Other

Enumeration date
03/04/2014
Last updated
03/04/2014
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