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1215009568
ALEX PONOMARENKO
SPOKANE, WA
NPI
1215009568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: WA AP30007005)
Enumeration Date
2006-11-14
Last Update Date
2007-07-08
Business Address
-- ALEX PONOMARENKO ARNP
205 W INDIANA AVE STE B
SPOKANE, WA 99205-4763
Phone number: 509-326-6474
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Mailing Address
-- ALEX PONOMARENKO ARNP
205 W INDIANA AVE STE B
SPOKANE, WA 99205-4763
Phone number: 509-326-6474
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