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1104922194
JASON R BOURNE
MARYSVILLE, WA
NPI
1104922194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WA DE00009603)
Enumeration Date
2006-09-16
Last Update Date
2007-07-08
Business Address
Dr. JASON R BOURNE DDS, MS
815 STATE AVE SUITE 3
MARYSVILLE, WA 98270-4254
Phone number: 360-659-0211
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Mailing Address
Dr. JASON R BOURNE DDS, MS
815 STATE AVE SUITE 3
MARYSVILLE, WA 98270-4254
Phone number: 360-659-0211
Copy
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