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1770164352
AMANDA DIANE BROOKHAUS
PUYALLUP, WA
NPI
1770164352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA ph61068927)
Enumeration Date
2021-04-15
Last Update Date
2021-10-04
Business Address
AMANDA DIANE BROOKHAUS
1322 3RD ST SE
PUYALLUP, WA 98372-3771
Phone number: 303-548-5795
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Mailing Address
AMANDA DIANE BROOKHAUS
17838 75TH AVE E
PUYALLUP, WA 98375-3304
Phone number: 303-548-5795
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