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Individual
MR. THOMAS J BOURNE
Active
Individual
MR. THOMAS J BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
60125138
WA
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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