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1972688877
EDWIN C. SUPPLEE
TACOMA, WA
NPI
1972688877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: AZ 3034)
Enumeration Date
2006-10-26
Last Update Date
2019-02-20
Business Address
EDWIN C. SUPPLEE Ph.D.
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-3339
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Mailing Address
EDWIN C. SUPPLEE Ph.D.
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-5096
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