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1063286540
LISA MARIE THACKER
SPOKANE, WA
NPI
1063286540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: WA 00141081)
Enumeration Date
2023-11-14
Last Update Date
2023-11-14
Business Address
LISA MARIE THACKER RN, BSN
4815 N ASSEMBLY ST
SPOKANE, WA 99205-6185
Phone number: 509-434-7000
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Mailing Address
LISA MARIE THACKER RN, BSN
306 E HANDY RD
COLBERT, WA 99005-9132
Phone number: 509-405-5504
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