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1811500010
NYCOL WALTERS
PASCO, WA
NPI
1811500010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-08-26
Last Update Date
2020-08-26
Business Address
NYCOL WALTERS LAT, ATC
2600 N 20TH AVE
PASCO, WA 99301-4108
Phone number: 509-547-0511
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Mailing Address
NYCOL WALTERS LAT, ATC
1813 HUMMINGBIRD CT
WEST RICHLAND, WA 99353-9542
Phone number: 509-967-2060
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