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1669204467
OCTARVIUS LASTER
BREMERTON, WA
NPI
1669204467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-08-19
Last Update Date
2024-08-19
Business Address
OCTARVIUS LASTER
5455 ALMIRA DR NE
BREMERTON, WA 98311-8331
Phone number: 360-373-5031
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Mailing Address
OCTARVIUS LASTER
5455 ALMIRA DR NE
BREMERTON, WA 98311-8331
Phone number: 360-373-5031
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