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1134395734
MARIO NATALE PONTICELLO
TACOMA, WA
NPI
1134395734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: WI 950-25)
Enumeration Date
2008-05-03
Last Update Date
2024-01-05
Business Address
MARIO NATALE PONTICELLO DPM
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-3505
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Mailing Address
MARIO NATALE PONTICELLO DPM
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-3505
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