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1164587184
BRENDA LYNNE WILDER SANDERS
TACOMA, WA
NPI
1164587184
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Former Name
BRENDA LYNNE WILDER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: WA MD00046346)
Enumeration Date
2006-12-27
Last Update Date
2012-09-21
Business Address
BRENDA LYNNE WILDER SANDERS MD PHD
1628 SOUTH MILDRED #101
TACOMA, WA 98465
Phone number: 253-564-8005
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Mailing Address
BRENDA LYNNE WILDER SANDERS MD PHD
316 MARTIN LUTHER KIND JR WAY #212
TACOMA, WA 98405
Phone number: 253-383-5777
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