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1487186938
MUKHLIS AZAR
SPOKANE, WA
NPI
1487186938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA p1600070346)
Enumeration Date
2017-04-03
Last Update Date
2017-04-03
Business Address
-- MUKHLIS AZAR
305 E SIERRA CT
SPOKANE, WA 99208
Phone number: 509-263-6697
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Mailing Address
-- MUKHLIS AZAR
305 E SIERRA CT
SPOKANE, WA 99208-5788
Phone number: 509-263-6697
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