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1356310064
GEORGE A PRUDDEN
LAKEWOOD, WA
NPI
1356310064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10004097)
Enumeration Date
2006-03-15
Last Update Date
2019-10-01
Business Address
GEORGE A PRUDDEN PA-C
7308 BRIDGEPORT WAY W SUITE 201
LAKEWOOD, WA 98499-8000
Phone number: 253-582-7257
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Mailing Address
GEORGE A PRUDDEN PA-C
9084 SE WILLOCK RD STE 201
OLALLA, WA 98359-9660
Phone number: 253-576-7353
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