Dynamic Training Xplosion Llc | |
2119 Seven Oaks St Se Lacey WA 98503-3090 | |
(714) 235-2739 | |
Not Available |
Full Name | Dynamic Training Xplosion Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 2119 Seven Oaks St Se, Lacey, Washington |
Authorized Official Name and Position | David Lett (PRESIDENT) |
Authorized Official Contact | 3606857414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dynamic Training Xplosion Llc 4570 Avery Ln Se Ste C Pmb 1108 Lacey WA 98503 Ph: (360) 685-7414 | Dynamic Training Xplosion Llc 2119 Seven Oaks St Se Lacey WA 98503-3090 Ph: (714) 235-2739 |
NPI Number | 1629885868 |
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Provider Enumeration Date | 12/11/2024 |
Last Update Date | 12/30/2024 |
Identifier | Type | State | Issuer |
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1629885868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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