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1134872997
KYLE BENNETT COONAN
OAK HARBOR, WA
NPI
1134872997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: WA ES61250254)
Enumeration Date
2022-02-01
Last Update Date
2022-02-01
Business Address
KYLE BENNETT COONAN EMT-B
1680 SE 2ND CT
OAK HARBOR, WA 98277-5002
Phone number: 360-672-2541
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Mailing Address
KYLE BENNETT COONAN EMT-B
1680 SE 2ND CT
OAK HARBOR, WA 98277-5002
Phone number: 360-672-2541
Copy