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1659712842
KRISTOFFER ALLEN TACUB VALENZUELA
BREMERTON, WA
NPI
1659712842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD60631103)
Enumeration Date
2013-07-16
Last Update Date
2021-03-23
Business Address
KRISTOFFER ALLEN TACUB VALENZUELA MD
2508 WHEATON WAY
BREMERTON, WA 98310-3303
Phone number: 360-377-3776
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Mailing Address
KRISTOFFER ALLEN TACUB VALENZUELA MD
PO BOX 960
BREMERTON, WA 98337-0212
Phone number: 360-478-2366
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