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1013308824
BLAKE NELSON
SPOKANE, WA
NPI
1013308824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH 00062061)
Enumeration Date
2015-02-16
Last Update Date
2015-02-16
Business Address
-- BLAKE NELSON RPh
3426 S UNIVERSITY RD
SPOKANE, WA 99206-1268
Phone number: 509-921-2292
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Mailing Address
-- BLAKE NELSON RPh
3426 S UNIVERSITY RD
SPOKANE VALLEY, WA 99206-5855
Phone number: 509-921-2292
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