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1013044254
FREDERICK D LEIST
BREMERTON, WA
NPI
1013044254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0122X Surgery Plastic and Reconstructive Surgery
(Licence: WA MD00010979)
Enumeration Date
2007-02-27
Last Update Date
2007-10-12
Business Address
FREDERICK D LEIST MD
2600 CHERRY AVENUE SUITE 201
BREMERTON, WA 98310
Phone number: 360-479-4370
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Mailing Address
FREDERICK D LEIST MD
2600 CHERRY AVENUE SUITE 201
BREMERTON, WA 98310
Phone number: 360-479-4370
Copy
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