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1144289570
ERIN DIANE NYSTROM
KENT, WA
NPI
1144289570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-03-23
Last Update Date
2007-07-08
Business Address
Mrs. ERIN DIANE NYSTROM ATC
6012 S 233RD PL FF204
KENT, WA 98032-4855
Phone number: 206-962-1416
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Mailing Address
Mrs. ERIN DIANE NYSTROM ATC
6012 S 233RD PL FF204
KENT, WA 98032-4855
Phone number: 206-962-1416
Copy
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