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1477297109
BRENDAN HAUGHIE JACKSON-FOWL
RENTON, WA
NPI
1477297109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-27
Last Update Date
2022-04-27
Business Address
BRENDAN HAUGHIE JACKSON-FOWL DO
3915 TALBOT RD S STE 401
RENTON, WA 98055-5738
Phone number: 425-690-3445
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Mailing Address
BRENDAN HAUGHIE JACKSON-FOWL DO
3915 TALBOT RD S STE 401
RENTON, WA 98055-5738
Phone number: 425-690-3445
Copy
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