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1073290342
BRENTON WILSON
SPOKANE, WA
NPI
1073290342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WA AP61480337)
Enumeration Date
2023-06-29
Last Update Date
2024-01-19
Business Address
BRENTON WILSON APRN,CRNA
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number: 509-747-3181
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Mailing Address
BRENTON WILSON APRN,CRNA
PO BOX 4069
EVERETT, WA 98204-0007
Phone number: 142-540-7100
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