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1235198664
DAREN MCLEAN NYSTROM
TACOMA, WA
NPI
1235198664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-03-23
Last Update Date
2007-07-08
Business Address
Mr. DAREN MCLEAN NYSTROM MA, ATC, CSCS
1500 N WARNER ST #1044
TACOMA, WA 98416-5000
Phone number: 253-879-2813
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Mailing Address
Mr. DAREN MCLEAN NYSTROM MA, ATC, CSCS
6012 S 233RD PL FF204
KENT, WA 98032-4855
Phone number: 253-879-2813
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