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1376100719
BRIAN O'BRIEN GOLDBERG
SHORELINE, WA
NPI
1376100719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-05-21
Last Update Date
2019-05-21
Business Address
BRIAN O'BRIEN GOLDBERG
733 N 150TH ST
SHORELINE, WA 98133-6104
Phone number: 206-816-0239
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Mailing Address
BRIAN O'BRIEN GOLDBERG
733 N 150TH ST
SHORELINE, WA 98133-6104
Phone number: 206-816-0239
Copy
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