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1790944684
NISANTH PANICKER
PUYALLUP, WA
NPI
1790944684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA LL00004115)
Enumeration Date
2008-06-05
Last Update Date
2008-06-05
Business Address
Mr. NISANTH PANICKER M.S.,CCC-SLP
920 12TH AVE SE
PUYALLUP, WA 98372-4920
Phone number: 253-841-3422
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Mailing Address
Mr. NISANTH PANICKER M.S.,CCC-SLP
920 12TH AVE SE
PUYALLUP, WA 98372-4920
Phone number: 253-841-3422
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