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1558896175
ALYSSA NOELLE WICKENHAGEN
YAKIMA, WA
NPI
1558896175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-04-21
Last Update Date
2017-04-21
Business Address
-- ALYSSA NOELLE WICKENHAGEN ATC.
106 N 91ST AVE
YAKIMA, WA 98908
Phone number: 509-961-5124
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Mailing Address
-- ALYSSA NOELLE WICKENHAGEN ATC.
106 N 91ST AVE
YAKIMA, WA 98908-8473
Phone number: 509-961-5124
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