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1386171361
RAJIV JAISIMHA IYENGAR
PUYALLUP, WA
NPI
1386171361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: WA MD61497644)
Enumeration Date
2017-05-22
Last Update Date
2024-10-15
Business Address
RAJIV JAISIMHA IYENGAR MD
4210 10TH ST SE
PUYALLUP, WA 98374-2191
Phone number: 253-840-5397
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Mailing Address
RAJIV JAISIMHA IYENGAR MD
PO BOX 731689
PUYALLUP, WA 98373-0017
Phone number: 253-840-5397
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