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Individual
MR. ISSACHAR NISTRIAN
Active
Individual
MR. ISSACHAR NISTRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRST
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
60736793
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6073693
REGISTRATION
WA
Enumeration date
06/28/2018
Last updated
06/28/2018
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