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1003921701
MICHAEL LANE PEARSON
PUYALLUP, WA
NPI
1003921701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: WA MD00014726)
Enumeration Date
2006-08-20
Last Update Date
2012-08-24
Business Address
Mr. MICHAEL LANE PEARSON MD
12904 94TH AVE EAST
PUYALLUP, WA 98373
Phone number: 253-841-3999
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Mailing Address
Mr. MICHAEL LANE PEARSON MD
12904 94TH AVE EAST
PUYALLUP, WA 98373
Phone number: 253-841-3999
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