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1952539041
LISE S. RETAILLIAU
PUYALLUP, WA
NPI
1952539041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA OP60285553)
Enumeration Date
2009-06-26
Last Update Date
2015-01-15
Business Address
-- LISE S. RETAILLIAU D.O.
1322 3RD ST SE STE 240
PUYALLUP, WA 98372-3771
Phone number: 253-697-5757
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Mailing Address
-- LISE S. RETAILLIAU D.O.
1322 3RD ST SE STE 240
PUYALLUP, WA 98372-3771
Phone number: 253-697-5757
Copy
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