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MR. CYRUS SAN NICOLAS DOLPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.P.

Contact information

Practice address
9212 N ELLENWOOD CT, NINE MILE FALLS, WA 99026-9206
(509) 990-6595
Mailing address
9212 N ELLENWOOD CT, NINE MILE FALLS, WA 99026-9206
(509) 990-6595

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60420401
WA

Other

Enumeration date
01/06/2014
Last updated
01/06/2014
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