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Individual

TERREL J MICHEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1519 3RD STREET SE, SUITE 250, PUYALLUP, WA 98372
(253) 848-1574
(253) 841-8949
Mailing address
1519 3RD STREET SE, SUITE 250, PUYALLUP, WA 98372
(253) 848-1574
(253) 841-8949

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
10/02/2006
Last updated
07/31/2007
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