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1861217077
JASON MICHAEL VAN GELDER
SPOKANE, WA
NPI
1861217077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA AP61628632)
Enumeration Date
2024-11-21
Last Update Date
2024-11-21
Business Address
JASON MICHAEL VAN GELDER PMHNP-BC
514 E BLACKHAWK DR
SPOKANE, WA 99208-7562
Phone number: 509-863-5593
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Mailing Address
JASON MICHAEL VAN GELDER PMHNP-BC
514 E BLACKHAWK DR
SPOKANE, WA 99208-7562
Phone number: 509-863-5593
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