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1952706103
BRADLEY SMITH
TACOMA, WA
NPI
1952706103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60514442)
Enumeration Date
2014-10-30
Last Update Date
2022-10-28
Business Address
Mr. BRADLEY SMITH PAC
9505 S STEELE ST
TACOMA, WA 98444-1858
Phone number: 253-597-6800
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Mailing Address
Mr. BRADLEY SMITH PAC
3908 10TH ST SE
PUYALLUP, WA 98374-2188
Phone number: 253-848-5951
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