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Organization
MINDWISE MEDICINE LLC
Active
Organization
MINDWISE MEDICINE LLC
Active
Other names
Bear Root Apothecary and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN REARDON ND (NATUROPATHIC PHYSICIAN)
(360) 385-3290
Entity
Organization
Contact information
Practice address
1002 LAWRENCE ST, PORT TOWNSEND, WA 98368-6524
(360) 385-3290
Mailing address
1002 LAWRENCE ST, PORT TOWNSEND, WA 98368-6524
(360) 385-3290
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60443433
WA
Other
Enumeration date
05/16/2014
Last updated
03/09/2015
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