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1265535132
GAYLE WALLACE DEBOOM
TACOMA, WA
NPI
1265535132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 27421)
Enumeration Date
2006-09-06
Last Update Date
2007-07-08
Business Address
-- GAYLE WALLACE DEBOOM DDS
VA PUGET SOUND AMER LAKE DV # A112 9600 VETERANS DRIVE, BLDG. 85
TACOMA, WA 98493-5000
Phone number: 253-589-4005
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Mailing Address
-- GAYLE WALLACE DEBOOM DDS
9600 VETERANS DRIVE BLDG 85 VA PUGET SOUND - AMER LAKE DIV, (A112)
TACOMA, WA 98493-5000
Phone number: 253-589-4005
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