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1245889419
YANA VISTOROVSKAYA
SPOKANE, WA
NPI
1245889419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA61117262)
Enumeration Date
2019-09-10
Last Update Date
2021-11-08
Business Address
YANA VISTOROVSKAYA
551 E HAWTHORNE RD
SPOKANE, WA 99218-1417
Phone number: 509-489-2369
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Mailing Address
YANA VISTOROVSKAYA
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number: 866-747-2455
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