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Individual

ROB MILDES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
14315 E TALLMAN RD, CHATTAROY, WA 99003-9507
(509) 238-3020
Mailing address
14315 E TALLMAN RD, P.O. BOX 517, CHATTAROY, WA 99003-9507
(509) 238-3020

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
PT00005790
WA

Other

Enumeration date
04/04/2011
Last updated
04/04/2011
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