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1407378136
TIMOTHY RICHARDSON
ABERDEEN, WA
NPI
1407378136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60779457)
Enumeration Date
2017-07-14
Last Update Date
2017-10-20
Business Address
Mr. TIMOTHY RICHARDSON
915 ANDERSON DR
ABERDEEN, WA 98520-1006
Phone number: 360-532-8330
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Mailing Address
Mr. TIMOTHY RICHARDSON
808 NAVAJO DR
RIVERSIDE, CA 92507-6047
Phone number:
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