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1588734628
NANCY L VITELLO MIKISKA
SPOKANE, WA
NPI
1588734628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10003223)
Enumeration Date
2006-11-08
Last Update Date
2021-04-28
Business Address
NANCY L VITELLO MIKISKA PAC
122 W 7TH AVE 450
SPOKANE, WA 99204-2349
Phone number: 509-455-8820
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Mailing Address
NANCY L VITELLO MIKISKA PAC
PO BOX 331
LIBERTY LAKE, WA 99019-0331
Phone number: 509-455-8820
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