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Spokane
Jeff L. Ramirez, ARNP
804 S Washington St
7521 W Deschutes Ave, Kennewick
Aberdeen
Acme
Addy
Adna
Airway Heights
Albion
Alderwood Manor
Algona
Allyn
Allyn-Grapeview
Almira
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Amboy
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Anderson Island
Appleton
Ariel
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Arlington Heights
Ashford
Asotin
Auburn
Bainbridge Island
Bangor Trident Base
Baring
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Bay Center
Beaux Arts
Beaver
Beaverton
Belfair
Bellevue
Bellingham
Bellview
Belmont
Benge
Benton City
Bethel
Beverly
Bickleton
Bingen
Birch Bay
Black Diamond
Blaine
Blakely Island
Bonneville
Bonney Lake
Bothell
Bow
Boyds
Brady
Bremerton
Brewster
Bridgeport
Brier
Brinnon
Brownstown
Brush Prairie
Bryn Mawr-Skyway
Buckley
Bucoda
Buena
Burbank
Burien
Burley
Burlington
Burton
Camano Island
Camas
Camp Murray
Carbonado
Carlsborg
Carlton
Carnation
Carrolls
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Cascade-Fairwood
Cashmere
Castle Rock
Cathlamet
Cedarville
Centerville
Central Park
Centralia
Chattaroy
Chehalis
Chelan
Chelan Falls
Cheney
Chewelah
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Cinebar
Clallam Bay
Claremont
Clarkston
Clayton
Cle Elum
Clear Lake
Clearlake
Clinton
Clyde Hill
Colbert
Colfax
College Place
Colton
Colville
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Concrete
Connell
Conway
Cook
Copalis Beach
Copalis Crossing
Cosmopolis
Cottage Lake
Cougar
Coulee City
Coulee Dam
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Cowiche
Creston
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Curtis
Cusick
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Danville
Darby
Darrington
Davenport
Dayton
Deer Harbor
Deer Meadows
Deer Park
Deming
Des Moines
Desert Aire
Diamond
Dixie
Doty
Dryden
DuPont
Duvall
East Hill-Meridian
East Olympia
East Port Orchard
East Renton Highlands
East Wenatchee
Easton
Eastsound
Eatonville
Echo Lake
Edgewood
Edison
Edmonds
Edwall
Elbe
Electric City
Elk
Ellensburg
Elma
Elmer City
Eltopia
Endicott
Entiat
Enumclaw
Ephrata
Erlands Point-Kitsap Lake
Esperance
Ethel
Evans
Everett
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Fairchild
Fairchild AFB
Fairchild Air Force Base
Fairfield
Fall City
Farmington
Federal Way
Felida
Fernandina Beach
Ferndale
Fife
Finley
Fircrest
Five Corners
Ford
Fords Prairie
Forks
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Four Lakes
Fox Island
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Friday Harbor
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Garfield
Garrett
Geneva
George
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Gig Harbor
Glenoma
Glenwood
Gold Bar
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Gorst
Graham
Grand Coulee
Grandview
Granger
Granite Falls
Grapeview
Grayland
Grays River
Greenacres
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Halls Lake
Hamilton
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Hunters
Hunts Point
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Index
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Ione
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Joint Base Lewis-McChord
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Junction City
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Kamilche
Kapowsin
Keller
Kelso
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Kenmore
Kennewick
Kent
Kettle Falls
Key Center
Keyport
Kingston
Kirkland
Kittitas
Klickitat
La Center
La Conner
La Grande
La Push
Lacey
LaCrosse
Lake Forest Park
Lake Shore
Lake Stevens
Lake Tapps
Lakebay
Lakeland North
Lakeland South
Lakewood
Lamont
Langley
Lat
Latah
Laurier
Leavenworth
Lebam
Lewis Mcchord
Liberty Lake
Lilliwaup
Lincoln
Lind
Littlerock
Long Beach
Longbranch
Longview
Loomis
Loon Lake
Lopez
Lopez Island
Lowden
Lummi Island
Lyle
Lyman
Lynden
Lynnwood
Mabton
Malaga
Malden
Malo
Malone
Malott
Manchester
Mansfield
Manson
Maple Falls
Maple Valley
Marblemount
Marcus
Marietta-Alderwood
Markham
Marlin
Marrowstone
Marshall
Martha Lake
Marysville
Marysville Ported
Matlock
Mattawa
Mazama
McChord AFB
McCleary
McKenna
Mead
Medical Lake
Medina
Menlo
Mercer Island
Mesa
Metaline
Metaline Falls
Methow
Mica
Midland
Mill Creek
Millwood
Milton
Milton-Freewater
Mineral
Moclips
Mohler
Monitor
Monroe
Montesano
Morton
Moses Lake
Mosier
Mossyrock
Mount Vernon
Mountlake Terrace
Moxee
Mt Vernon
Mukilteo
Naches
Nahcotta
Napavine
Nas Whidbey
Naselle
Navy Yard City
Neah Bay
Nederland
Neilton
Nespelem
Newar
Newcastle
Newman Lake
Newport
Nine Mile Falls
Nooksack
Nordland
Normandy Park
North Bend
North Bonneville
North Creek
North Lakewood
North Marysville
Northport
Northwoods
Oak Harbor
Oakesdale
Oakville
Ocean City
Ocean Park
Ocean Shores
Odessa
Okanogan
Olalla
Olga
Olympia
Omak
Onalaska
Orcas
Orchards
Orient
Orondo
Oroville
Orting
Othello
Otis Orchards
Otis Orchards-East Farms
Outlook
Oysterville
Pacific
Pacific Beach
Packwood
Paine Field-Lake Stickney
Palisades
Palouse
Parker
Parkland
Parkwood
Pasco
Pateros
Paterson
Pe Ell
Peaceful Valley
Peshastin
Picnic Point-North Lynnwood
Plaza
Plymouth
Point Roberts
Pomeroy
Port Angeles
Port Gamble
Port Hadlock
Port Hadlock-Irondale
Port Ludlow
Port Orchard
Port Townsend
Portage
Portland
Post Falls
Poulsbo
Prescott
Preston
Priest River
Prosser
Pullman
Puyallup
Quilcene
Quinault
Quincy
Rainier
Randle
Ravensdale
Raymond
Reardan
Redmond
Renton
Republic
Rice
Richland
Ridgefield
Ritzville
Riverside
Roche Harbor
Rochester
Rock Island
Rockford
Rockport
Rollingbay
Ronald
Roosevelt
Rosalia
Rosburg
Roslyn
Roy
Royal City
Ruston
Ryderwood
Saint John
Salkum
Salmon Creek
Sammamish
Satsop
Seabeck
Seahurst
SeaTac
Seattle
Seaview
Sedro Woolley
Sedro-Woolley
Sekiu
Selah
Sequim
Seven Bays
Shaw Island
Shelton
Shoreline
Silvana
Silver Creek
Silver Lake
Silverdale
Silverlake
Skamokawa
Skok
Skokomish
Skokomish Nation
Skykomish
Snohomish
Snoqualmie
Snoqualmie Pass
Soap Lake
South Bend
South Cle Elum
South Colby
South Hill
South Prairie
South Whidbey
Southworth
Spanaway
Spangle
Spokane
Spokane Valley
Sprague
Springdale
Stanwood
Starbuck
Startup
Stehekin
Steilacoom
Steptoe
Stevenson
Stratford
Sudden Valley
Sultan
Sumas
Sumner
Sunnyside
Sunnyslope
Suquamish
Tacoma
Taholah
Tahuya
Tanglewilde
Tekoa
Tenino
The Dalles or
Thornton
Thorp
Tieton
Tillamook or
Tokeland
Toledo
Tonasket
Toppenish
Touchet
Toutle
Town and Country
Tracyton
Trout Lake
Tukwila
Tulalip
Tulalip Bay
Tumtum
Tumwater
Twisp
Underwood
Union
Union Gap
Union Hill-Novelty Hill
Uniontown
University Place
Usk
Vader
Valley
Valleyford
Vancouver
Vantage
Vashon
Vaughn
Veradale
Vernon
Wahkiacus
Waitsburg
Waldron
Walla Walla
Waller
Wallula
Walnut Grove
Wapato
Warden
Warm Beach
Washington
Washougal
Washtucna
Waterville
Wauconda
Wauna
Waverly
Wellpinit
Wenatchee
West End
West Lake Stevens
West Pasco
West Richland
Westport
White Center
White Salmon
White Swan
Wilbur
Wilkeson
Wilson Creek
Winlock
Winsted
Winthrop
Wishram
Woodinville
Woodland
Woodway
Yacolt
Yakima
Yarrow Point
Yelm
Zillah
Jeff L. Ramirez, ARNP
140 South Arthur Street, Spokane
Phone: +1 509-535-4001
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