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Individual

TATE JORGENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 415-5870
Mailing address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 415-5870

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
02/21/2017
Last updated
02/21/2017
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