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1194429431
TIMOTHY RAY TEUSINK
YAKIMA, WA
NPI
1194429431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD00018358)
Enumeration Date
2023-03-29
Last Update Date
2023-03-29
Business Address
TIMOTHY RAY TEUSINK
1300 N 1ST ST
YAKIMA, WA 98901-1702
Phone number: 509-853-4327
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Mailing Address
TIMOTHY RAY TEUSINK
6119 SUMMITVIEW AVE APT 10
YAKIMA, WA 98908-3005
Phone number: 509-208-4912
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