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1295325892
BRIAN FORREST BOUNDY
VANCOUVER, WA
NPI
1295325892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WA PA61128876)
Enumeration Date
2021-01-19
Last Update Date
2021-10-29
Business Address
BRIAN FORREST BOUNDY PA
200 NE MOTHER JOSEPH PL STE 110
VANCOUVER, WA 98664-3293
Phone number: 360-254-6161
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Mailing Address
BRIAN FORREST BOUNDY PA
200 NE MOTHER JOSEPH PL STE 210
VANCOUVER, WA 98664-3295
Phone number: 360-254-6161
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