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1972517159
SAMUAL ALLEN NICHOLSON
SPOKANE, WA
NPI
1972517159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WA 30007381)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
Mr. SAMUAL ALLEN NICHOLSON CRNA
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number: 509-474-4971
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Mailing Address
Mr. SAMUAL ALLEN NICHOLSON CRNA
948 E 39TH AVE
SPOKANE, WA 99203-3035
Phone number: 509-747-2697
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