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1801919527
LYLE WILFRED NELSON
VANCOUVER, WA
NPI
1801919527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WA DE00007605)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Dr. LYLE WILFRED NELSON M.D.,D.M.D.
3215 SE 192ND AVE SUITE 112
VANCOUVER, WA 98683-1469
Phone number: 360-256-7100
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Mailing Address
Dr. LYLE WILFRED NELSON M.D.,D.M.D.
3215 SE 192ND AVE SUITE 112
VANCOUVER, WA 98683-1469
Phone number: 360-256-7100
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