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1831121268
CLYDE R ADDISON
TACOMA, WA
NPI
1831121268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA md00039054)
Enumeration Date
2006-07-07
Last Update Date
2010-09-08
Business Address
-- CLYDE R ADDISON MD
2420 S UNION AVE STE 240
TACOMA, WA 98405-1323
Phone number: 253-459-6166
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Mailing Address
-- CLYDE R ADDISON MD
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4234
Phone number: 253-459-6166
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