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1700902111
SUSAN I BOHNEMANN
TACOMA, WA
NPI
1700902111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10003239)
Enumeration Date
2007-03-21
Last Update Date
2008-05-09
Business Address
-- SUSAN I BOHNEMANN PA
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4265
Phone number: 253-596-3300
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Mailing Address
-- SUSAN I BOHNEMANN PA
PO BOX 34584
SEATTLE, WA 98124-1584
Phone number: 509-241-7316
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