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WILLIAM WISE-GENDUSA

Religious Nonmedical Practitioner

NPI: 1336911957Individual

Specialties, Licenses & Credentials

Religious Nonmedical PractitionerPrimary

Religious Nonmedical Practitioner

Code: 374K00000X

Contact & Hours

Address
4815 N ASSEMBLY ST
SPOKANE, WA 99205

Quick Facts

NPI
1336911957
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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