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Individual

CLINTON BREWSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8801 NE HAZEL DELL AVE, VANCOUVER, WA 98665-8145
(360) 713-0005
Mailing address
8801 NE HAZEL DELL AVE, VANCOUVER, WA 98665-8145
(360) 713-0005

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
7452097-1701
UT
183500000X
Pharmacist
Primary
PH60298525
WA

Other

Enumeration date
08/06/2012
Last updated
08/06/2012
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