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Individual

BRADLEY REGAN THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
4301 S PINE ST, SUITE 301, TACOMA, WA 98409-7264
(253) 476-6500
Mailing address
3702 S 7TH ST, APT. B, TACOMA, WA 98405-2104
(206) 601-5442

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60113449
WA

Other

Enumeration date
10/06/2011
Last updated
10/06/2011
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