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1013123405
JAMES JON RUANE
BREMERTON, WA
NPI
1013123405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
(Licence: CA 17101002X)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
-- JAMES JON RUANE IDC
6935 LIVERPOOL CT NE
BREMERTON, WA 98311-9646
Phone number: 360-476-6872
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Mailing Address
-- JAMES JON RUANE IDC
1400 FARRAGUT AVE. BLDG 940
BREMERTON, WA 98312
Phone number: 360-476-6872
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