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BRENDA POLITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
210-43 DEVEREESE RD, CHEHALIS, WA 98532-9049
(360) 269-1886
Mailing address
210-43 DEVEREESE RD, CHEHALIS, WA 98532-9049
(360) 269-1886

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G69363
CA
207Q00000X
Family Medicine Physician
Primary
MD 00042918
WA

Other

Enumeration date
10/19/2016
Last updated
10/19/2016
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