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1114025251
STEPHEN PENASKOVIC
SPOKANE, WA
NPI
1114025251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: WA MD00031704)
Enumeration Date
2006-09-20
Last Update Date
2008-05-23
Business Address
-- STEPHEN PENASKOVIC
101 W 8TH AVE
SPOKANE, WA 99205-4805
Phone number: 509-474-3131
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Mailing Address
-- STEPHEN PENASKOVIC
PO BOX 12229
WESTMINSTER, CA 92685-2229
Phone number: 888-432-2088
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