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Individual

DYAN NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
364 S PARK ST, WALLA WALLA, WA 99362-3249
(509) 526-6724
Mailing address
1334 CRYSTAL CT, WALLA WALLA, WA 99362-8842
(509) 540-2646

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60586469
WA

Other

Enumeration date
09/01/2015
Last updated
09/01/2015
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