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Organization
DEARIE PREVENTATIVE MEDICINE PROFESSIONAL CORPORATION
Active
Organization
DEARIE PREVENTATIVE MEDICINE PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN KLEINHANS (DIRECTOR)
(253) 242-2705
Entity
Organization
Contact information
Practice address
418 BROADWAY STE N, ALBANY, NY 12207-2922
(206) 486-2053
Mailing address
PO BOX 7241, TACOMA, WA 98417-0241
(253) 242-2705
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
NULL
Other
Enumeration date
12/12/2024
Last updated
04/21/2026
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