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1134154131
JOHN M BROCKENBROUGH
KIRKLAND, WA
NPI
1134154131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: IL 036101927)
Enumeration Date
2006-07-11
Last Update Date
2017-12-12
Business Address
JOHN M BROCKENBROUGH MD
12303 NE 130TH LN STE 400
KIRKLAND, WA 98034-3041
Phone number: 425-899-4590
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Mailing Address
JOHN M BROCKENBROUGH MD
PO BOX 34036
SEATTLE, WA 98124-1036
Phone number: 425-899-3292
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