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1184111379
LEA SHIM
PUYALLUP, WA
NPI
1184111379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA OP61204077)
Enumeration Date
2018-04-13
Last Update Date
2021-11-15
Business Address
LEA SHIM DO
1701 - 3RD ST SE #300
PUYALLUP, WA 98372
Phone number: 253-697-5767
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Mailing Address
LEA SHIM DO
P.O. BOX 5299 MS: 1313-5-PCO
TACOMA, WA 98415-0299
Phone number:
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