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1073717799
CLARA WINONA BRANNAN
LACEY, WA
NPI
1073717799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA de00010981)
Enumeration Date
2007-06-14
Last Update Date
2007-07-08
Business Address
-- CLARA WINONA BRANNAN DDS
719 SLEATER KINNEY RD SE SUITE 130
LACEY, WA 98503-1147
Phone number: 360-455-1231
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Mailing Address
-- CLARA WINONA BRANNAN DDS
13002 106TH AVENUE CT E
PUYALLUP, WA 98374-3011
Phone number: 253-209-7555
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