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1881189009
STEPHAN PAUL BELLANDE
BREMERTON, WA
NPI
1881189009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: WA 60047630)
Enumeration Date
2018-06-29
Last Update Date
2018-06-29
Business Address
STEPHAN PAUL BELLANDE
1292 NE MOUNT OLYMPUS LN APT B303
BREMERTON, WA 98311-3893
Phone number: 360-701-1851
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Mailing Address
STEPHAN PAUL BELLANDE
1292 NE MOUNT OLYMPUS LN APT B303
BREMERTON, WA 98311-3893
Phone number: 360-701-1851
Copy
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