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1104915776
BURGESS BENNETT
SEATTLE, WA
NPI
1104915776
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Former Name
BURGESS BENNETT PECK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: WA AP60759972)
Enumeration Date
2006-10-12
Last Update Date
2019-01-16
Business Address
BURGESS BENNETT ARNP
1959 NE PACIFIC ST
SEATTLE, WA 98195-2037
Phone number: 425-646-7777
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Mailing Address
BURGESS BENNETT ARNP
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-520-5700
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