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1174551022
BLAZE J BURNHAM
SPOKANE VALLEY, WA
NPI
1174551022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP30004598)
Enumeration Date
2006-06-29
Last Update Date
2010-07-12
Business Address
-- BLAZE J BURNHAM ARNP
13607 E SPRAGUE AVE
SPOKANE VALLEY, WA 99216-0809
Phone number: 509-892-3113
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Mailing Address
-- BLAZE J BURNHAM ARNP
13607 E SPRAGUE AVENUE
SPOKANE VALLEY, WA 99206
Phone number: 509-892-3113
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