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Individual

DIETRICH KIEMLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.P.

Contact information

Practice address
10448 SE 19TH ST, BELLEVUE, WA 98004-7135
(425) 445-6553
Mailing address
10448 SE 19TH ST, BELLEVUE, WA 98004-7135
(425) 445-6553

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60193477
WA

Other

Enumeration date
02/15/2012
Last updated
02/15/2012
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