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1003694829
BENJAMIN LANGE
BREMERTON, WA
NPI
1003694829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-09-21
Last Update Date
2023-09-21
Business Address
BENJAMIN LANGE
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
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Mailing Address
BENJAMIN LANGE
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
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