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1649375114
THEODORE ALLEN BRIDGE
FEDERAL WAY, WA
NPI
1649375114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: WA MD00029692)
Enumeration Date
2006-09-13
Last Update Date
2007-07-08
Business Address
Dr. THEODORE ALLEN BRIDGE M.D.
1014 S 320TH ST SUITE C
FEDERAL WAY, WA 98003-5344
Phone number: 253-941-0673
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Mailing Address
Dr. THEODORE ALLEN BRIDGE M.D.
1014 S 320TH ST SUITE C
FEDERAL WAY, WA 98003-5344
Phone number: 253-941-0673
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