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Individual
MR. JOSHUA DEAN BRAWLEY
Active
Individual
MR. JOSHUA DEAN BRAWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005034
WA
363AS0400X
Surgical Physician Assistant
PA10005034
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0234857
LIWA VCR
WA
01
—
4136BR
BSWA
WA
Enumeration date
07/18/2006
Last updated
08/27/2019
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