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Speech, Language and Hearing Service Providers Hearing Instrument Specialist

Provider NPI: 1003231986

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 509-924-3459  Fax: 509-934-3692

Business Mailing Address:
Tel: 509-924-3459  Fax: 509-934-3692

NPI Information:
NPI: 1003231986
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y237700000XSpeech, Language and Hearing Service Providers
Hearing Instrument Specialist

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 237700000X





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