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1336883313
ERIK BRENDAN DOMAS
TACOMA, WA
NPI
1336883313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA ML61299130)
Enumeration Date
2022-04-25
Last Update Date
2022-04-25
Business Address
ERIK BRENDAN DOMAS MD
1717 S J ST
TACOMA, WA 98405-4933
Phone number: 253-426-4101
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Mailing Address
ERIK BRENDAN DOMAS MD
6805 6TH AVE APT C1
TACOMA, WA 98406-1713
Phone number: 206-832-7150
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