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1336256692
NIKOM WANNARACHUE, M.D., INC. P.S.
KENNEWICK, WA
NPI
1336256692
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Entity Type
Organization
Authorized Contact
NIKOM WANNARACHUE
M.D.
509-586-1157
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2006-08-24
Last Update Date
2011-05-10
Business Address
NIKOM WANNARACHUE, M.D., INC. P.S.
721 S AUBURN ST
KENNEWICK, WA 99336-5665
Phone number: 509-586-1157
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Mailing Address
NIKOM WANNARACHUE, M.D., INC. P.S.
721 S AUBURN ST
KENNEWICK, WA 99336-5665
Phone number: 509-586-1157
Copy
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