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1093570319
ALEXANDER BRUNDAGE
TACOMA, WA
NPI
1093570319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2024-02-15
Last Update Date
2024-02-15
Business Address
-- ALEXANDER BRUNDAGE
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-3105
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Mailing Address
-- ALEXANDER BRUNDAGE
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-3105
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