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1780715383
GARY WARNER NICHOLSON
TACOMA, WA
NPI
1780715383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
Mr. GARY WARNER NICHOLSON ATC
ATHLETIC DEPT PACIFIC LUTHERAN UNIVERSITY
TACOMA, WA 98447-0003
Phone number: 253-535-7366
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Mailing Address
Mr. GARY WARNER NICHOLSON ATC
906 129TH SREET SOUTH
TACOMA, WA 98444-2213
Phone number: 253-537-2344
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