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1639690563
SU LEI TIN
FEDERAL WAY, WA
NPI
1639690563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA MD61091055)
Enumeration Date
2017-06-30
Last Update Date
2020-09-23
Business Address
SU LEI TIN MD
34503 9TH AVE S
FEDERAL WAY, WA 98003-8727
Phone number: 253-835-8700
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Mailing Address
SU LEI TIN MD
34503 9TH AVE S STE 100
FEDERAL WAY, WA 98003-8726
Phone number: 253-835-8700
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