Provider Information for 1215513882
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RICK GEORGE
Sex: Male
NPI: 1215513882
Last Updated: 2021-03-23
Certification Date: 2021-03-23
Certification Date: 2021-03-23
Details
| Name | Value | ||||||||
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| NPI | 1215513882 | ||||||||
| Enumeration Date | 2021-03-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 959 YAKIMA, WA 98907-0959 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 1319 SAUL RD SUNNYSIDE, WA 98944-2300 United States Phone: 509-575-4084 | Fax: | ||||||||
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