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1003847179
GLENN J. KIETZER
TACOMA, WA
NPI
1003847179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: WA MD00009584)
Enumeration Date
2006-07-06
Last Update Date
2014-05-07
Business Address
DR. GLENN J. KIETZER MD
15005 PACIFIC AVE SPANAWAY GENERAL MEDICAL
TACOMA, WA 98444
Phone number: 253-537-3724
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Mailing Address
DR. GLENN J. KIETZER MD
15005 PACIFIC AVE SPANAWAY GENERAL MEDICAL
TACOMA, WA 98444
Phone number: 253-537-3724
Copy
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