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1578806097
MICHAEL DEWAYNE CRONQUIST
SPOKANE VALLEY, WA
NPI
1578806097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP 60324274)
Enumeration Date
2013-04-03
Last Update Date
2023-10-06
Business Address
Mr. MICHAEL DEWAYNE CRONQUIST FNPc
17110 E DAYBREAK LN
SPOKANE VALLEY, WA 99016-8767
Phone number: 509-475-1347
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Mailing Address
Mr. MICHAEL DEWAYNE CRONQUIST FNPc
17110 E DAYBREAK LN
SPOKANE VALLEY, WA 99016-8767
Phone number: 509-991-2545
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