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1871025148
GRANT NIELSEN
BREMERTON, WA
NPI
1871025148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
172V00000X Community Health Worker
(Licence: WA CG 60595100)
Enumeration Date
2017-03-28
Last Update Date
2024-12-30
Business Address
GRANT NIELSEN BS
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
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Mailing Address
GRANT NIELSEN BS
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
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