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1376521229
LUIS CARLOS ALCALDE
OTHELLO, WA
NPI
1376521229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA10001584)
Enumeration Date
2006-01-01
Last Update Date
2021-03-12
Business Address
LUIS CARLOS ALCALDE Physician Assistant
1515 E COLUMBIA ST
OTHELLO, WA 99344-1846
Phone number: 509-488-5256
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Mailing Address
LUIS CARLOS ALCALDE Physician Assistant
1515 E COLUMBIA ST
OTHELLO, WA 99344-1846
Phone number: 509-488-5256
Copy
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