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1053174995
CHARMONIX BLOOM GILBERT
SPOKANE, WA
NPI
1053174995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA CO61493843)
Enumeration Date
2024-02-02
Last Update Date
2024-02-02
Business Address
CHARMONIX BLOOM GILBERT SUDP-T
1302 W GARDNER AVE
SPOKANE, WA 99201-2059
Phone number: 509-503-6010
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Mailing Address
CHARMONIX BLOOM GILBERT SUDP-T
PO BOX 10157
SPOKANE, WA 99209-1157
Phone number: 509-503-6010
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