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1114401783
AVERY DOUGLAS SMETANA
SPOKANE, WA
NPI
1114401783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-09-19
Last Update Date
2018-09-19
Business Address
AVERY DOUGLAS SMETANA
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208-4700
Phone number: 509-328-7041
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Mailing Address
AVERY DOUGLAS SMETANA
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208-4700
Phone number: 509-328-7041
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