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1699716258
GUILLERMO VENEGAS
BREMERTON, WA
NPI
1699716258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-06-08
Last Update Date
2007-07-08
Business Address
Mr. GUILLERMO VENEGAS
1 BOONE RD
BREMERTON, WA 98312-1894
Phone number: 360-476-0406
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Mailing Address
Mr. GUILLERMO VENEGAS
4640 NW 82ND ST
SILVERDALE, WA 98383-9201
Phone number:
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