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1629118401
KELLY F RISSE
SPOKANE, WA
NPI
1629118401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: WA PT8428)
Enumeration Date
2007-02-08
Last Update Date
2007-07-08
Business Address
Mr. KELLY F RISSE MPT
3020 S GRAND BLVD
SPOKANE, WA 99203
Phone number: 509-456-6917
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Mailing Address
Mr. KELLY F RISSE MPT
3020 S GRAND BLVD
SPOKANE, WA 99203
Phone number: 509-456-6917
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