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1265996284
PAUL BENJAMIN BRUCE
TACOMA, WA
NPI
1265996284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CG60423494)
Enumeration Date
2019-01-23
Last Update Date
2019-01-23
Business Address
PAUL BENJAMIN BRUCE
721 FAWCETT AVE STE 201
TACOMA, WA 98402-5502
Phone number: 253-414-4414
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Mailing Address
PAUL BENJAMIN BRUCE
721 FAWCETT AVE STE 201
TACOMA, WA 98402-5502
Phone number: 253-414-4414
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