Provider Information for 1518144088
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KIPP DANIEL TREMBLEY
Sex: Male
NPI: 1518144088
Last Updated: 2008-01-28
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1518144088 | ||||||||
| Enumeration Date | 2008-01-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3645 E MCLEOD RD BELLINGHAM, WA 98226-8700 United States Phone: 360-676-2220 | Fax: | ||||||||
| Primary Practice Address | 3645 E MCLEOD RD BELLINGHAM, WA 98226-8700 United States Phone: 360-676-2220 | Fax: | ||||||||
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