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1588660427
SANDRA L. FORNWALT
SPOKANE, WA
NPI
1588660427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207VX0000X Obstetrics & Gynecology, Obstetrics
(Licence: WA MD00049202)
Enumeration Date
2005-06-24
Last Update Date
2021-05-18
Business Address
SANDRA L. FORNWALT M.D.
101 W 8TH AVE SUITE 1100
SPOKANE, WA 99204-2307
Phone number: 509-474-4060
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Mailing Address
SANDRA L. FORNWALT M.D.
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number: 866-747-2455
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