JOLENE M WIXOM

SPOKANE, WA
NPI1740489061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: WA  MA00019944)
Enumeration Date2007-07-17
Last Update Date2007-07-17
Business Address
Miss JOLENE M WIXOM LMP
1103 E GARLAND AVE
SPOKANE, WA 99207-3035
Phone number: 509-280-6615
Mailing Address
Miss JOLENE M WIXOM LMP
1103 E GARLAND AVE
SPOKANE, WA 99207-3035
Phone number: 509-280-6615
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