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Individual

DR. RUSSELL M BRAGG JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
9840 KINGSTON FARM RD NE, KINGSTON, WA 98346-8621
(360) 509-1474
Mailing address
9840 KINGSTON FARM RD NE, KINGSTON, WA 98346-8621
(360) 509-1474

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00001741
WA

Other

Enumeration date
10/18/2006
Last updated
07/21/2014
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