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1891521712
RACE POLSTON
SPOKANE, WA
NPI
1891521712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP60651685)
Enumeration Date
2024-09-09
Last Update Date
2024-09-09
Business Address
RACE POLSTON LPN
1302 W GARDNER AVE
SPOKANE, WA 99201-2059
Phone number: 509-503-6010
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Mailing Address
RACE POLSTON LPN
802 E SIERRA AVE
SPOKANE, WA 99208-5741
Phone number: 509-844-1507
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