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Individual

OSCAR REYNALDO MARMOLEJO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3004 E PROVIDENCE AVE, SPOKANE, WA 99207-5842
(509) 994-2708
Mailing address
3004 E PROVIDENCE AVE, SPOKANE, WA 99207-5842
(509) 994-2708

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
16299
WA

Other

Enumeration date
09/27/2021
Last updated
09/27/2021
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