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Individual

DANIEL LYNN STAMPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9040 JACKSON AVE, TACOMA, WA 98431-6500
(253) 968-1110
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004237
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
301270
INTERNAL ID-MOTOR VEHICLE ID
05
8356537
WA
Enumeration date
10/27/2006
Last updated
03/28/2022
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