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1457741688
KYLE LEWIS
PUYALLUP, WA
NPI
1457741688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA60520595)
Enumeration Date
2015-01-26
Last Update Date
2015-09-29
Business Address
-- KYLE LEWIS PA-C
11216 SUNRISE BLVD E STE 3-207
PUYALLUP, WA 98374-8848
Phone number: 253-770-3700
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Mailing Address
-- KYLE LEWIS PA-C
3209 S 23RD ST STE 340
TACOMA, WA 98405-1602
Phone number: 253-503-2598
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