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1104027861
ASHLEE DIANE MICKELSON
SPOKANE, WA
NPI
1104027861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: WA MD60458815)
Enumeration Date
2007-05-30
Last Update Date
2021-11-04
Business Address
ASHLEE DIANE MICKELSON M.D.
3919 N MAPLE ST
SPOKANE, WA 99205-1349
Phone number: 509-444-8888
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Mailing Address
ASHLEE DIANE MICKELSON M.D.
611 N IRON BRIDGE WAY
SPOKANE, WA 99202-4932
Phone number: 509-444-8888
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