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1891861001
ROBERT PROVASOLI
OLYMPIA, WA
NPI
1891861001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: WA CH00002232)
Enumeration Date
2006-11-28
Last Update Date
2007-07-08
Business Address
Dr. ROBERT PROVASOLI D.C.
1018 7TH AVE SE
OLYMPIA, WA 98501-1512
Phone number: 360-459-8114
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Mailing Address
Dr. ROBERT PROVASOLI D.C.
1018 7TH AVE SE
OLYMPIA, WA 98501-1512
Phone number: 360-459-8114
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