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Individual

LARRY W NYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
969 STEVENS DR STE 3A, RICHLAND, WA 99352-3558
(509) 713-1315
(866) 422-7049
Mailing address
969 STEVENS DR STE 3A, RICHLAND, WA 99352-3558
(509) 713-1315
(866) 422-7049

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60102449
WA

Other

Enumeration date
10/02/2009
Last updated
02/13/2024
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