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Individual

CASEY JO BROTHERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
1207 SE RASMUSSEN BLVD, STE. 111, BATTLE GROUND, WA 98604-8618
(360) 687-2701
Mailing address
11903 NE 189TH ST, BATTLE GROUND, WA 98604-7328
(360) 901-2725

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA60044901
WA

Other

Enumeration date
05/08/2012
Last updated
05/08/2012
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