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1316360639
BRIAN NELSON
PUYALLUP, WA
NPI
1316360639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: WA MD00020208)
Enumeration Date
2014-01-22
Last Update Date
2014-01-22
Business Address
-- BRIAN NELSON
208 17TH AVE SE
PUYALLUP, WA 98372-4515
Phone number: 253-840-1999
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Mailing Address
-- BRIAN NELSON
208 17TH AVE SE
PUYALLUP, WA 98372-4515
Phone number: 253-840-1999
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