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Individual
MR. DALE TIMOTHY FLYNN
Active
Individual
MR. DALE TIMOTHY FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPA CCCA
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00001028
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8338444
—
WA
01
—
9002478
DSHS
—
Enumeration date
08/29/2006
Last updated
11/01/2011
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