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Individual

EVAN BRAGIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9040 JACKSON AVE, MCHJ-CLQ-C, TACOMA, WA 98431-1100
(253) 968-3564
Mailing address
9040 JACKSON AVE, MCHJ-CLQ-C, TACOMA, WA 98431-1100
(253) 968-3564

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
26NJOO375300
NJ

Other

Enumeration date
10/01/2012
Last updated
10/01/2012
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