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1306416029
CALLIE ELIZABETH FORD
BREMERTON, WA
NPI
1306416029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-11745)
Enumeration Date
2021-06-25
Last Update Date
2024-03-25
Business Address
CALLIE ELIZABETH FORD PA
400 WARREN AVE STE 200
BREMERTON, WA 98337-1467
Phone number: 360-475-6700
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Mailing Address
CALLIE ELIZABETH FORD PA
1116 ALCOTT CT
RALEIGH, NC 27609-6043
Phone number: 919-986-1195
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