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Individual

GARY ROBERT DIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1406 54TH AVE E, SUITE D, FIFE, WA 98424-1284
(253) 304-5660
(206) 497-8215
Mailing address
PO BOX 1151, PUYALLUP, WA 98371-0227
(253) 304-5660
(206) 497-8215

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002015
WA

Other

Enumeration date
06/19/2006
Last updated
11/14/2011
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