JASON R BOURNE

MARYSVILLE, WA
NPI1104922194
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WA  DE00009603)
Enumeration Date2006-09-16
Last Update Date2007-07-08
Business Address
Dr. JASON R BOURNE DDS, MS
815 STATE AVE SUITE 3
MARYSVILLE, WA 98270-4254
Phone number: 360-659-0211
Mailing 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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