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1174144992
BRANDON R BERGQUIST
RICHLAND, WA
NPI
1174144992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60969345)
Enumeration Date
2020-05-04
Last Update Date
2021-01-12
Business Address
BRANDON R BERGQUIST DPT
1351 FOWLER ST STE 110
RICHLAND, WA 99352-4714
Phone number: 509-942-2574
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Mailing Address
BRANDON R BERGQUIST DPT
550 GAGE BLVD STE 101
RICHLAND, WA 99352-9532
Phone number: 509-942-3627
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