NICHOLAS JAMES GRAHAM

FAIRCHILD AFB, WA
NPI1730317728
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-06-29
Last Update Date2009-06-29
Business Address
Mr. NICHOLAS JAMES GRAHAM IDMT
2504 S.CHICAGO ST
FAIRCHILD AFB, WA 99011
Phone number: 509-657-5414
Mailing Address
Mr. NICHOLAS JAMES GRAHAM IDMT
4320 W.DESKA DR APT 601
SPOKANE, WA 99224
Phone number: 360-701-1192
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