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1700581170
EVERGREEN DERMATOPATHOLOGY PLLC
LIBERTY LAKE, WA
NPI
1700581170
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Entity Type
Organization
Authorized Contact
ASHLEY ANNE HAMSTRA
Practice Owner
208-277-9704
Organization Subpart ?
No
Primary Taxonomy
207ZD0900X Pathology, Dermatopathology
Enumeration Date
2023-04-04
Last Update Date
2023-04-04
Business Address
EVERGREEN DERMATOPATHOLOGY PLLC
2110 N MOLTER RD #112
LIBERTY LAKE, WA 99019
Phone number: 208-277-9704
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Mailing Address
EVERGREEN DERMATOPATHOLOGY PLLC
2110 N MOLTER RD #112
LIBERTY LAKE, WA 99019
Phone number: 208-277-9704
Copy
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