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Tyson Mix
NPI 1841676772 · on the registry since 2015 · sole proprietor
Practice
- Address
- 622 S 3rd Ave Sw
Tumwater, WA 98512 - Phone
- (360) 628-2088
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-08-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington