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1770636904
TIMOTHY M NIVALA
TACOMA, WA
NPI
1770636904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WA OD00001854)
Enumeration Date
2007-01-19
Last Update Date
2021-05-26
Business Address
TIMOTHY M NIVALA
5821 S SPRAGUE CT
TACOMA, WA 98409-6903
Phone number: 253-396-4200
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Mailing Address
TIMOTHY M NIVALA
5821 S SPRAGUE CT
TACOMA, WA 98409-6903
Phone number: 253-396-4200
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