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1336911957
WILLIAM WISE-GENDUSA
SPOKANE, WA
NPI
1336911957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374K00000X
Enumeration Date
2023-10-26
Last Update Date
2023-10-26
Business Address
WILLIAM WISE-GENDUSA
4815 N ASSEMBLY ST
SPOKANE, WA 99205-6185
Phone number: 509-434-7762
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Mailing Address
WILLIAM WISE-GENDUSA
5314 W BISMARK AVE
SPOKANE, WA 99208-6296
Phone number: 509-434-9696
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