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1629600994
GLEN E POTTER
COLVILLE, WA
NPI
1629600994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WA RN00158040)
Enumeration Date
2020-02-05
Last Update Date
2020-02-05
Business Address
GLEN E POTTER RN
982 E COLUMBIA AVE STE 201
COLVILLE, WA 99114-3316
Phone number: 509-685-5000
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Mailing Address
GLEN E POTTER RN
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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