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1205925120
BRUCE RANDALL LANUM
UNIVERSITY PLACE, WA
NPI
1205925120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP60060142)
Enumeration Date
2006-10-11
Last Update Date
2016-02-04
Business Address
-- BRUCE RANDALL LANUM RN, MN, CS, FNP
4401 BRIDGEPORT WAY W ATTN CREDENTIALING
UNIVERSITY PLACE, WA 98466-4201
Phone number: 253-564-4157
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Mailing Address
-- BRUCE RANDALL LANUM RN, MN, CS, FNP
4401 BRIDGEPORT WAY W ATTN CREDENTIALING
UNIVERSITY PLACE, WA 98466-4201
Phone number: 253-564-4157
Copy
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