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1679652135
SHAKTI K MATTA
KENNEWICK, WA
NPI
1679652135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: WA MD00035969)
Enumeration Date
2006-11-03
Last Update Date
2012-09-18
Business Address
Dr. SHAKTI K MATTA MBBS, DCH, MD, FAAP
6802 W RIO GRANDE AVE STE 1
KENNEWICK, WA 99336-7684
Phone number: 509-572-2201
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Mailing Address
Dr. SHAKTI K MATTA MBBS, DCH, MD, FAAP
6802 W RIO GRANDE AVE STE 1
KENNEWICK, WA 99336-7684
Phone number: 509-572-2201
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