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1033181003
ROBERT DEWEY VANDENBERG
LACEY, WA
NPI
1033181003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QG0300X Family Medicine, Geriatric Medicine
(Licence: WA MD00028460)
Enumeration Date
2006-02-03
Last Update Date
2014-12-11
Business Address
Dr. ROBERT DEWEY VANDENBERG M.D.
4044 15TH AVE SE SUITE A
LACEY, WA 98503-6962
Phone number: 360-491-4460
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Mailing Address
Dr. ROBERT DEWEY VANDENBERG M.D.
1450 NORTHWEST LANE SE SUITE A
LACEY, WA 98503-6962
Phone number: 360-491-4460
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