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MR. DOUGLAS LYLE TIMPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1028 N WENATCHEE AVE, WENATCHEE, WA 98801-1532
(512) 763-2678
Mailing address
331 VALLEY MALL PKWY # 346, EAST WENATCHEE, WA 98802-4831
(425) 891-2069

Taxonomy

Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
ES60075668
WA
246RP1900X
Phlebotomy Technician
PC60348165
WA

Other

Enumeration date
11/25/2017
Last updated
11/25/2017
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