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1134958028
JYOTHI DIKKALA
TACOMA, WA
NPI
1134958028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QG0300X Family Medicine, Geriatric Medicine
(Licence: WA 61581633)
Enumeration Date
2024-07-29
Last Update Date
2024-07-29
Business Address
Dr. JYOTHI DIKKALA MD
3020 S UNION AVE
TACOMA, WA 98409-3317
Phone number: 503-805-8865
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Mailing Address
Dr. JYOTHI DIKKALA MD
3020 S UNION AVE
TACOMA, WA 98409-3317
Phone number: 503-805-8865
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