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1013469592
TIMOTHY C WICAL
PUYALLUP, WA
NPI
1013469592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA AP60961155)
Enumeration Date
2016-10-31
Last Update Date
2020-10-21
Business Address
Dr. TIMOTHY C WICAL BSN, DNP, PMHNP-BC
15406 MERIDIAN E
PUYALLUP, WA 98375-9504
Phone number: 253-509-1777
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Mailing Address
Dr. TIMOTHY C WICAL BSN, DNP, PMHNP-BC
4301 JONES BRIDGE RD
BETHESDA, MD 20814-4712
Phone number: 301-295-9004
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