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1811995525
LEE A ANTLES
TACOMA, WA
NPI
1811995525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA MD00025946)
Enumeration Date
2005-07-07
Last Update Date
2019-03-20
Business Address
LEE A ANTLES MD
9040 JACKSON AVENUE
TACOMA, WA 98431-8151
Phone number: 253-968-2462
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Mailing Address
LEE A ANTLES MD
9040 JACKSON AVENUE
TACOMA, WA 98431-0001
Phone number: 253-968-2462
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