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1689735904
MYRA J TISHKOFF
SHORELINE, WA
NPI
1689735904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA 00003279)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
Ms. MYRA J TISHKOFF M.S.
17535 15TH AVE NE
SHORELINE, WA 98155-3801
Phone number: 206-440-9708
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Mailing Address
Ms. MYRA J TISHKOFF M.S.
10532A WHITMAN AVE N
SEATTLE, WA 98133-8824
Phone number: 206-841-4842
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