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1073618419
MICHAEL CHARLES DEBERARDINIS
TACOMA, WA
NPI
1073618419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: WA MD00042829)
Enumeration Date
2006-09-13
Last Update Date
2010-09-09
Business Address
-- MICHAEL CHARLES DEBERARDINIS MD
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4234
Phone number: 253-372-7102
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Mailing Address
-- MICHAEL CHARLES DEBERARDINIS MD
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4234
Phone number: 253-372-7102
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