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1033149307
JEROME L BUSHNELL
ISSAQUAH, WA
NPI
1033149307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD00017470)
Enumeration Date
2006-07-03
Last Update Date
2011-01-25
Business Address
-- JEROME L BUSHNELL MD
100 NE GILMAN BLVD
ISSAQUAH, WA 98027-2925
Phone number: 425-557-8000
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Mailing Address
-- JEROME L BUSHNELL MD
1100 OLIVE WAY MSC M4-PA
SEATTLE, WA 98101-1873
Phone number: 206-515-5811
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