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Individual

DR. LOIS BRESAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD INC PS

Contact information

Practice address
20700 BOND RD NE BLDG B, POULSBO, WA 98370-9099
(360) 697-2199
(360) 779-5760
Mailing address
20700 BOND RD NE BLDG B, POULSBO, WA 98370-9099
(360) 697-2199
(360) 779-5760

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00024914
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1130269
WA
Enumeration date
12/19/2007
Last updated
05/21/2008
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