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1386759678
LEE P THELEN
FEDERAL WAY, WA
NPI
1386759678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA 6184)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
Dr. LEE P THELEN
33801 1ST WAY S #361
FEDERAL WAY, WA 98003-4546
Phone number: 253-838-4200
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Mailing Address
Dr. LEE P THELEN
5221 ORCA DR NE
TACOMA, WA 98422-1945
Phone number: 253-927-8843
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