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Individual

MR. KYLE WAYNE PEPER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
RD. LD

Contact information

Practice address
9040 FITZSIMMONS DR, TACOMA, WA 98431-1000
(253) 968-0573
Mailing address
17719 37TH AVE E, TACOMA, WA 98446-2845
(253) 875-8870

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07570
TX

Other

Enumeration date
02/21/2006
Last updated
07/08/2007
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