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Individual

DR. CARL M NYREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
10828 GRAVELLY LK DR SW, SUITE #108, LAKEWOOD, WA 98499-1334
(253) 588-9731
(253) 588-9731
Mailing address
10828 GRAVELLY LK DR SW, SUITE #108, LAKEWOOD, WA 98499-1334
(253) 588-9731
(253) 588-9731

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2206
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
57407
DEPT OF LABOR INDUSTRIES
WA
Enumeration date
12/15/2006
Last updated
07/08/2007
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