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1356567333
LYLE DUANE KELSTROM
VANCOUVER, WA
NPI
1356567333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA 4874)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
Dr. LYLE DUANE KELSTROM dds
6202 NE HIGHWAY 99 #5
VANCOUVER, WA 98665-8747
Phone number: 360-693-2592
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Mailing Address
Dr. LYLE DUANE KELSTROM dds
6202 NE HIGHWAY 99 #5
VANCOUVER, WA 98665-8747
Phone number: 360-693-2592
Copy
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