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Individual

THAIR GORGEES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7319 N MAGNOLIA ST, SPOKANE, WA 99217-9515
(509) 598-5549
Mailing address
7319 N MAGNOLIA ST, SPOKANE, WA 99217-9515
(509) 598-5549

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary

Other

Enumeration date
09/16/2020
Last updated
09/25/2020
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