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Individual

MR. DENNIS JEROME TEMBREULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
H.I.S

Contact information

Practice address
16007 56TH AVENUE CT E, SUITE 2, PUYALLUP, WA 98375-9004
(253) 535-6386
(253) 535-9723
Mailing address
1402 WILLIAMS AVE NW, ORTING, WA 98360-8468
(253) 535-6386
(253) 535-9723

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2602
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0190385
LABOR AND INDUSTRIES PROV
WA
Enumeration date
06/13/2007
Last updated
07/08/2007
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