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1508086208
TAD WAYNE LOWDER
VANCOUVER, WA
NPI
1508086208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA OP00002161)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
-- TAD WAYNE LOWDER D.O.
406 SE 131ST AVE SUITE 203 B
VANCOUVER, WA 98683-4004
Phone number: 360-254-4402
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Mailing Address
-- TAD WAYNE LOWDER D.O.
406 SE 131ST AVE SUITE 203B
VANCOUVER, WA 98683-4004
Phone number: 360-254-4402
Copy
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