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1972064392
LOGAN JOSEPH BRAU
PUYALLUP, WA
NPI
1972064392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA OP61320906)
Enumeration Date
2019-03-28
Last Update Date
2022-09-13
Business Address
LOGAN JOSEPH BRAU DO
1007 39TH AVE SE
PUYALLUP, WA 98374-2192
Phone number: 253-435-3100
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Mailing Address
LOGAN JOSEPH BRAU DO
1007 39TH AVE SE
PUYALLUP, WA 98374-2192
Phone number: 253-435-3100
Copy
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