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1093867251
DIANNA LYNN WACHTEL
TACOMA, WA
NPI
1093867251
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Former Name
DIANNA LYNN LANPHEAR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10004082)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
-- DIANNA LYNN WACHTEL PA-C
1112 S CUSHMAN AVE
TACOMA, WA 98405-3631
Phone number: 253-593-2144
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Mailing Address
-- DIANNA LYNN WACHTEL PA-C
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-0112
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