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1104682053
JESSICA PAVLOVNA PONKRATOV
SPOKANE, WA
NPI
1104682053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH61452112)
Enumeration Date
2024-02-27
Last Update Date
2024-02-27
Business Address
JESSICA PAVLOVNA PONKRATOV PharmD
2929 E 29TH AVE
SPOKANE, WA 99223-4811
Phone number: 509-535-9056
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Mailing Address
JESSICA PAVLOVNA PONKRATOV PharmD
5908 W RUTTER PKWY
SPOKANE, WA 99208-9220
Phone number: 360-431-9047
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