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1922009885
GREGG K VANDEKIEFT
OLYMPIA, WA
NPI
1922009885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD00027326)
Enumeration Date
2005-08-02
Last Update Date
2021-04-23
Business Address
Dr. GREGG K VANDEKIEFT M.D.
525 LILLY RD NE
OLYMPIA, WA 98506-5101
Phone number: 360-493-7230
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Mailing Address
Dr. GREGG K VANDEKIEFT M.D.
PO BOX 3360
PORTLAND, OR 97208-3360
Phone number: 360-486-6508
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