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1255739710
BRUCE WATERBURY
TACOMA, WA
NPI
1255739710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG60154196)
Enumeration Date
2014-12-16
Last Update Date
2014-12-16
Business Address
-- BRUCE WATERBURY
5410 N 44TH ST
TACOMA, WA 98407-3715
Phone number: 253-759-9544
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Mailing Address
-- BRUCE WATERBURY
5410 N 44TH ST
TACOMA, WA 98407-3715
Phone number: 253-759-9544
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