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1114544129
DANIEL SPENCER RICHARDS
SHELTON, WA
NPI
1114544129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP00050976)
Enumeration Date
2020-06-26
Last Update Date
2020-06-26
Business Address
DANIEL SPENCER RICHARDS LPN
307 W COTA ST
SHELTON, WA 98584-2265
Phone number: 360-205-8001
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Mailing Address
DANIEL SPENCER RICHARDS LPN
307 W COTA ST
SHELTON, WA 98584-2265
Phone number: 360-205-8001
Copy
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