KORDALE TRE BAVOR

BONNEY LAKE, WA
NPI1659984631
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: WA  61422757)
Enumeration Date2020-08-28
Last Update Date2023-08-22
Business Address
Mr. KORDALE TRE BAVOR NP
10004 204TH AVE E STE 1300
BONNEY LAKE, WA 98391-6537
Phone number: 253-848-8797
Mailing Address
Mr. KORDALE TRE BAVOR NP
10004 204TH AVE E STE 1300
BONNEY LAKE, WA 98391-6537
Phone number: 253-848-8797
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