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1164409637
GREGORY D FISK
OMAK, WA
NPI
1164409637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60149531)
Enumeration Date
2005-12-27
Last Update Date
2016-04-20
Business Address
Mr. GREGORY D FISK PAC
529 JASMINE ST
OMAK, WA 98841-9589
Phone number: 509-826-1600
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Mailing Address
Mr. GREGORY D FISK PAC
529 JASMINE ST
OMAK, WA 98841-9589
Phone number: 509-826-1600
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