NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1881907715
PROVIDENCE HEALTH & SERVICES WASHINGTON
PO BOX 331
LIBERTY LAKE
WA
990190331
1508484395
SOULEK
ALIA
EMILIE
16414 S DOVER RD
CHENEY
WA
990049602
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