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1194770164
JAISIMHA K IYENGAR
TACOMA, WA
NPI
1194770164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: WA MD00036006)
Enumeration Date
2006-05-24
Last Update Date
2007-07-08
Business Address
-- JAISIMHA K IYENGAR MD
1818 S UNION AVE STE 1A
TACOMA, WA 98405-1953
Phone number: 253-627-2666
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Mailing Address
-- JAISIMHA K IYENGAR MD
PO BOX 111750
TACOMA, WA 98411-1750
Phone number: 253-627-2666
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