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1760691851
ECHO T VANDERWAL
SANDPOINT, ID
NPI
1760691851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID pa671)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- ECHO T VANDERWAL pa
420 N 2ND AVE STE 100
SANDPOINT, ID 83864-1565
Phone number: 208-265-2242
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Mailing Address
-- ECHO T VANDERWAL pa
420 N 2ND AVE STE 100
SANDPOINT, ID 83864-1565
Phone number: 208-265-2242
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