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1124046404
JOHN R VAN BUSKIRK
TACOMA, WA
NPI
1124046404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA OP00000988)
Enumeration Date
2006-07-17
Last Update Date
2010-09-10
Business Address
JOHN R VAN BUSKIRK DO
521 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4238
Phone number: 253-403-2900
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Mailing Address
JOHN R VAN BUSKIRK DO
PO BOX 5299
TACOMA, WA 98415-0299
Phone number: 253-403-2933
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