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Individual

MRS. JEANNETTE LYNN KIKUCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CO

Contact information

Practice address
300 ALPHA DR, PITTSBURGH, PA 15238-2908
(412) 477-1405
Mailing address
3955 BIGELOW BLVD APT 905, PITTSBURGH, PA 15213-1238
(301) 580-0510

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
OH000308
PA

Other

Enumeration date
06/19/2017
Last updated
03/17/2018
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