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1750378741
SIVAN N MUDALIAR
GRAHAM, WA
NPI
1750378741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00009944)
Enumeration Date
2005-10-04
Last Update Date
2007-07-08
Business Address
SIVAN N MUDALIAR DPT
21806 103RD AVENUE CT E SUITE 202
GRAHAM, WA 98338-8115
Phone number: 253-847-3700
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Mailing Address
SIVAN N MUDALIAR DPT
PO BOX 731269
PUYALLUP, WA 98373-0060
Phone number: 253-840-2313
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