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Individual

LAUREL BANCROFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 N BERNARD ST, SPOKANE, WA 99201-0206
(509) 354-5982
Mailing address
200 N BERNARD ST, SPOKANE, WA 99201-0206

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00000782
WA

Other

Enumeration date
04/24/2017
Last updated
04/24/2017
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