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1255325460
THERESA WIEDERHOLD
SPOKANE, WA
NPI
1255325460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP30006019)
Enumeration Date
2005-09-01
Last Update Date
2012-01-11
Business Address
Ms. THERESA WIEDERHOLD ARNP
5921 N MARKET ST
SPOKANE, WA 99208-2484
Phone number: 509-487-1604
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Mailing Address
Ms. THERESA WIEDERHOLD ARNP
203 N WASHINGTON ST STE 300
SPOKANE, WA 99201-0233
Phone number: 509-444-8888
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