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1386930253
DAVID BINGHAM
TACOMA, WA
NPI
1386930253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
323P00000X Psychiatric Residential Treatment Facility
(Licence: WA CG60204501)
Enumeration Date
2011-06-20
Last Update Date
2011-06-20
Business Address
-- DAVID BINGHAM M.S. P
1201 S PROCTOR ST
TACOMA, WA 98405-2047
Phone number: 253-396-5930
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Mailing Address
-- DAVID BINGHAM M.S. P
1201 S PROCTOR ST
TACOMA, WA 98405-2047
Phone number: 253-396-5937
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