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1225802721
IAN DAVIDSON
SPOKANE VALLEY, WA
NPI
1225802721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine
(Licence: WA PT00004012)
Enumeration Date
2023-11-14
Last Update Date
2023-11-14
Business Address
IAN DAVIDSON
222 S EVERGREEN RD
SPOKANE VALLEY, WA 99216-0834
Phone number: 866-746-6696
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Mailing Address
IAN DAVIDSON
9030 N HESS ST # 301
HAYDEN, ID 83835-9827
Phone number: 866-746-6696
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