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1154399384
THOMAS OVERLY
BREMERTON, WA
NPI
1154399384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WA rn00108309 ap3000532)
Enumeration Date
2006-03-14
Last Update Date
2007-07-08
Business Address
-- THOMAS OVERLY CRNA
1 BOONE RD
BREMERTON, WA 98312-1894
Phone number: 360-475-4755
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Mailing Address
-- THOMAS OVERLY CRNA
4015 74TH AVENUE CT NW
GIG HARBOR, WA 98335-6529
Phone number: 253-265-2686
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