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1376541847
INDRAWAN HUSODO
BREMERTON, WA
NPI
1376541847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: WA MD00028376)
Enumeration Date
2005-07-08
Last Update Date
2009-01-21
Business Address
Dr. INDRAWAN HUSODO M.D.
990 SYLVAN WAY
BREMERTON, WA 98310-2851
Phone number: 360-479-3657
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Mailing Address
Dr. INDRAWAN HUSODO M.D.
990 SYLVAN WAY
BREMERTON, WA 98310-2851
Phone number: 360-479-3657
Copy
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