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1104089432
SHAMIT DAVENDRA TAILOR
SPOKANE, WA
NPI
1104089432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA MD60299586)
Enumeration Date
2008-07-07
Last Update Date
2016-08-22
Business Address
-- SHAMIT DAVENDRA TAILOR M.D.
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number: 509-474-3260
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Mailing Address
-- SHAMIT DAVENDRA TAILOR M.D.
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number: 866-747-2455
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