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1578759304
CODY JOSHUA ELLEFSEN
SPOKANE, WA
NPI
1578759304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA OP00002282)
Enumeration Date
2007-09-14
Last Update Date
2015-06-24
Business Address
-- CODY JOSHUA ELLEFSEN DO
203 E DALKE AVE STE B
SPOKANE, WA 99208-8112
Phone number: 509-724-0198
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Mailing Address
-- CODY JOSHUA ELLEFSEN DO
203 E DALKE AVE STE B
SPOKANE, WA 99208-8112
Phone number: 509-724-0198
Copy
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