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1891708574
IDOLINA MALTOS
YAKIMA, WA
NPI
1891708574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA PA10003511)
Enumeration Date
2006-08-14
Last Update Date
2007-10-04
Business Address
-- IDOLINA MALTOS PA
3911 CASTLEVALE RD
YAKIMA, WA 98902-7807
Phone number: 509-453-8231
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Mailing Address
-- IDOLINA MALTOS PA
3911 CASTLEVALE RD
YAKIMA, WA 98902-7807
Phone number: 509-453-8231
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