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Individual

TEAL STERLING HALLSTRAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD00035118
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0231181
L&I
WA
05
1467537266
WA
01
29410
INTERNAL ID-MOTOR VEHICLE ID
Enumeration date
10/27/2006
Last updated
09/06/2012
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