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1134782675
JONATHAN CARL ST MARTIN
BURIEN, WA
NPI
1134782675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP60369082)
Enumeration Date
2019-04-19
Last Update Date
2019-04-19
Business Address
JONATHAN CARL ST MARTIN
15675 AMBAUM BLVD SW
BURIEN, WA 98166-2523
Phone number: 206-631-3011
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Mailing Address
JONATHAN CARL ST MARTIN
15675 AMBAUM BLVD SW
BURIEN, WA 98166-2523
Phone number:
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