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1831744853
RICHARD BENNETT MCCALLUM
SPOKANE, WA
NPI
1831744853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA CG60995296)
Enumeration Date
2019-08-06
Last Update Date
2019-10-11
Business Address
RICHARD BENNETT MCCALLUM
505 E NORTH FOOTHILLS DR
SPOKANE, WA 99207-2101
Phone number: 509-838-4651
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Mailing Address
RICHARD BENNETT MCCALLUM
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651
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