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1265096770
ANTIONETTE AILEEN WIZNER
SPOKANE VALLEY, WA
NPI
1265096770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA CG60743466)
Enumeration Date
2019-04-30
Last Update Date
2019-04-30
Business Address
ANTIONETTE AILEEN WIZNER MA
317 N PINES RD
SPOKANE VALLEY, WA 99206-5120
Phone number: 509-838-4651
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Mailing Address
ANTIONETTE AILEEN WIZNER MA
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651
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