JUSTIN LYLE SICHULA

VANCOUVER, WA
NPI1013666809
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-21
Last Update Date2022-04-17
Business Address
JUSTIN LYLE SICHULA MD
2211 NE 139TH ST
VANCOUVER, WA 98686-2742
Phone number: 360-487-1168
Mailing Address
JUSTIN LYLE SICHULA MD
109 S PEARL ST APT 2
ELLENSBURG, WA 98926-4002
Phone number: 509-856-4968
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