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Individual

DR. JOHN E BRIDGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
624 HUNT ST, CENTRALIA, WA 98531-1005
(360) 807-4497
Mailing address
624 HUNT ST, CENTRALIA, WA 98531-1005
(360) 807-4497

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034200
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0224061
L & I
WA
01
3259BR
REGENCE
WA
Enumeration date
12/18/2006
Last updated
04/25/2013
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