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1740872944
PUYALLUP REGENERATIVE MEDICINE, PLLC
PUYALLUP, WA
NPI
1740872944
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Entity Type
Organization
Authorized Contact
MICHAEL LEE CHURCH
President
253-332-3628
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2021-02-09
Last Update Date
2021-04-28
Business Address
PUYALLUP REGENERATIVE MEDICINE, PLLC
1410 S MERIDIAN STE A
PUYALLUP, WA 98371-6902
Phone number: 253-841-4425
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Mailing Address
PUYALLUP REGENERATIVE MEDICINE, PLLC
PO BOX 1272
SUMNER, WA 98390-0250
Phone number: 253-841-4425
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