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1982143111
TATE JORGENSEN
BREMERTON, WA
NPI
1982143111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2017-02-21
Last Update Date
2017-02-21
Business Address
-- TATE JORGENSEN
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-415-5870
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Mailing Address
-- TATE JORGENSEN
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-415-5870
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