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1679215958
TAVISH RONALD NELSON
SPOKANE, WA
NPI
1679215958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-08
Last Update Date
2022-04-08
Business Address
TAVISH RONALD NELSON SRNA
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number: 509-474-4971
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Mailing Address
TAVISH RONALD NELSON SRNA
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number: 509-474-4971
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