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1144948803
THOMAS DALE BRIESKE
BEND, OR
NPI
1144948803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA218471)
Enumeration Date
2022-08-18
Last Update Date
2024-04-08
Business Address
THOMAS DALE BRIESKE
815 SW BOND ST
BEND, OR 97702-3593
Phone number: 541-382-4900
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Mailing Address
THOMAS DALE BRIESKE
PO BOX 6048
BEND, OR 97708-6048
Phone number: 541-382-4900
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