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1194141093
MEGAN BROUSSEAU MAHOWALD
TACOMA, WA
NPI
1194141093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 28709)
Enumeration Date
2014-03-16
Last Update Date
2019-12-26
Business Address
MEGAN BROUSSEAU MAHOWALD MD
9040 JACKSON AVE
TACOMA, WA 98431-1000
Phone number: 253-968-1340
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Mailing Address
MEGAN BROUSSEAU MAHOWALD MD
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA 98431-1000
Phone number: 253-968-1340
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