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1699278572
JORDON VAN DE VELDE
SPOKANE, WA
NPI
1699278572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA 61141566)
Enumeration Date
2018-03-16
Last Update Date
2023-02-23
Business Address
JORDON VAN DE VELDE DO
2214 E 29TH AVE
SPOKANE, WA 99203-3939
Phone number: 509-755-5250
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Mailing Address
JORDON VAN DE VELDE DO
2214 E 29TH AVE
SPOKANE, WA 99203-3939
Phone number: 509-755-5250
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