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Growing up on the Colville Indian Reservation, Andy Castrodale had no intention of staying in rural Eastern Washington. "I was going to get out and I wasn't coming back," he said. And yet, for 21 years he's been practicing family medicine in Grand Coulee. Castrodale laughed. "I also hadn't planned to be a physician." He studied microbiology as an undergrad at the University of Washington, thinking he might pursue physical therapy. "I spent the first three years trying to survive, feeling like th...