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Individual

BRYAN JAMISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
400 BRIDGE ST, CLARKSTON, WA 99403-1931
(509) 758-7475
Mailing address
1711 BURRELL DR, LEWISTON, ID 83501-5984
(208) 791-2447

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
P5260
ID
183500000X
Pharmacist
Primary
PH60091249
WA

Other

Enumeration date
09/26/2014
Last updated
09/26/2014
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