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1205936028
NIKOM WANNARACHUE
KENNEWICK, WA
NPI
1205936028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: WA MD00012028)
Enumeration Date
2006-09-22
Last Update Date
2007-07-09
Business Address
Dr. NIKOM WANNARACHUE M.D.
721 S AUBURN ST
KENNEWICK, WA 99336-5665
Phone number: 509-586-1157
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Mailing Address
Dr. NIKOM WANNARACHUE M.D.
721 S AUBURN ST
KENNEWICK, WA 99336-5665
Phone number: 509-586-1157
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