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Individual

TRACI BRUNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3725 PROVIDENCE POINT DR SE, ISSAQUAH, WA 98029-7219
(425) 391-2800
Mailing address
18123 NE 33RD ST, VANCOUVER, WA 98682-3663
(360) 281-4724

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00050710
WA

Other

Enumeration date
12/08/2023
Last updated
12/08/2023
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