TOBIAN D VAN GORDON

COLVILLE, WA
NPI1457053852
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
Enumeration Date2023-03-20
Last Update Date2023-03-20
Business Address
TOBIAN D VAN GORDON
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
Mailing Address
TOBIAN D VAN GORDON
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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