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1467216358
IAN BUTTERBRODT
TACOMA, WA
NPI
1467216358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2024-02-12
Last Update Date
2024-02-12
Business Address
IAN BUTTERBRODT
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-2462
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Mailing Address
IAN BUTTERBRODT
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number:
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