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1992542096
TY MICHAEL FOTHERINGILL
ELLENSBURG, WA
NPI
1992542096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WA RN60315886)
Enumeration Date
2024-07-15
Last Update Date
2024-07-15
Business Address
TY MICHAEL FOTHERINGILL
1506 E RADIO RD
ELLENSBURG, WA 98926-9589
Phone number: 509-925-8497
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Mailing Address
TY MICHAEL FOTHERINGILL
1506 E RADIO RD
ELLENSBURG, WA 98926-9589
Phone number: 509-925-8497
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