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1003193749
MATTHEW D EISENHOWER
BREMERTON, WA
NPI
1003193749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA MC60252055)
Enumeration Date
2011-11-09
Last Update Date
2011-11-09
Business Address
MATTHEW D EISENHOWER MA
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
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Mailing Address
MATTHEW D EISENHOWER MA
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
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