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1366723470
TIMOTHY RYAN
LAKEWOOD, WA
NPI
1366723470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP00043693)
Enumeration Date
2011-09-01
Last Update Date
2011-09-01
Business Address
TIMOTHY RYAN LPN
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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Mailing Address
TIMOTHY RYAN LPN
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number:
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