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1962713057
JAY BRADFORD FOGLE
BREMERTON, WA
NPI
1962713057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA 60140278)
Enumeration Date
2010-06-23
Last Update Date
2010-06-23
Business Address
Dr. JAY BRADFORD FOGLE DDS
1275 NE FRANKLIN AVE SUITE A
BREMERTON, WA 98311-3005
Phone number: 360-377-0803
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Mailing Address
Dr. JAY BRADFORD FOGLE DDS
14643 CENTRAL VALLEY RD NW
POULSBO, WA 98370-8167
Phone number: 206-992-4148
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