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1053424333
DEAN KIRK DOUGLAS
TACOMA, WA
NPI
1053424333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WA PA10005076)
Enumeration Date
2006-08-17
Last Update Date
2010-11-10
Business Address
-- DEAN KIRK DOUGLAS PA-C
1112 6TH AVE STE 300
TACOMA, WA 98405-4040
Phone number: 253-272-2224
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Mailing Address
-- DEAN KIRK DOUGLAS PA-C
1112 6TH AVE STE 300
TACOMA, WA 98405-4040
Phone number: 253-272-2224
Copy
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