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1487850137
BRIAN ALBERT NIELSON
BREMERTON, WA
NPI
1487850137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-06-21
Last Update Date
2007-07-08
Business Address
Mr. BRIAN ALBERT NIELSON IDC
1662 NORTHLAKE WAY NW
BREMERTON, WA 98312-1716
Phone number: 360-689-6254
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Mailing Address
Mr. BRIAN ALBERT NIELSON IDC
1662 NORTHLAKE WAY NW
BREMERTON, WA 98312-1716
Phone number: 360-689-6254
Copy
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