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1518931526
RICKARD D. ANTLES
OLYMPIA, WA
NPI
1518931526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA10003134)
Enumeration Date
2006-02-15
Last Update Date
2012-09-13
Business Address
-- RICKARD D. ANTLES PA
406 YAUGER WAY SW STE A
OLYMPIA, WA 98502-8151
Phone number: 360-352-3901
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Mailing Address
-- RICKARD D. ANTLES PA
1909 14TH AVE SW
OLYMPIA, WA 98502-5705
Phone number: 360-946-5547
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