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1043753486
JAKE RYAN CHASTAIN
SEDRO WOOLLEY, WA
NPI
1043753486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: WA ES. 60623189)
Enumeration Date
2016-12-01
Last Update Date
2016-12-01
Business Address
-- JAKE RYAN CHASTAIN
374 RAINBOW DR
SEDRO WOOLLEY, WA 98284-9587
Phone number: 425-327-3396
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Mailing Address
-- JAKE RYAN CHASTAIN
374 RAINBOW DR
SEDRO WOOLLEY, WA 98284-9587
Phone number: 425-327-3396
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