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1013187830
BRIAN CASEY PRUETT
BREMERTON, WA
NPI
1013187830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2008-03-07
Last Update Date
2008-03-07
Business Address
Mr. BRIAN CASEY PRUETT IDC
1 BOONE RD
BREMERTON, WA 98312-1894
Phone number: 360-475-4236
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Mailing Address
Mr. BRIAN CASEY PRUETT IDC
1 BOONE RD
BREMERTON, WA 98312-1894
Phone number:
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