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1114542065
GARY JOHN CLINTON MERSEREAU
CENTRALIA, WA
NPI
1114542065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: WA RN60383846)
Enumeration Date
2020-06-16
Last Update Date
2020-06-16
Business Address
Mr. GARY JOHN CLINTON MERSEREAU BSN, RN
914 S SCHEUBER RD
CENTRALIA, WA 98531-9027
Phone number: 360-330-8785
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Mailing Address
Mr. GARY JOHN CLINTON MERSEREAU BSN, RN
815 WAYNE DR
CENTRALIA, WA 98531-9024
Phone number:
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