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Michael Dean Gostovich
Home Modifications Contractor in Yakima, Washington
NPI 1639647142

Michael Dean Gostovich is a Home Modifications Contractor based in Buena, WA and is specialized in Home Modifications. Michael Dean Gostovich practices in Yakima, WA. The NPI Number for Michael Dean Gostovich is 1639647142 and holds a License No. (Washington).

The current practice location address for Michael Dean Gostovich is 18 Kenny Dr, Yakima, WA and can be reached out via phone at 509-952-2447.

Location: 18 Kenny Dr, Yakima, WA, 98921-0354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639647142
Provider Name
Michael Dean Gostovich
Credential
Provider Entity Type
Individual
Gender
Male
Address
18 Kenny Dr, Yakima, WA, 98921-0354
Phone Number
509-952-2447
Fax Number
Provider Enumeration Date
11/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GOSTOMD355N2 01 WA WADL
institution
Provider Business Practice Location Address Details
Address
18 Kenny Dr
City
Yakima
State
Washington
Zip
98902-2712
Phone Number
509-952-2447
Fax Number
person
Provider Business Mailing Address Details
Address
18 Kenny Dr
City
Yakima
State
Washington
Zip
98902-2712
Phone Number
509-952-2447
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
Home Modifications
Taxonomy
171WH0202X
License No.
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Definition
Definition to come...
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