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1194163592
MARK J GRUMBINE
EVERETT, WA
NPI
1194163592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: WA Cped3982)
Enumeration Date
2013-06-06
Last Update Date
2014-09-26
Business Address
-- MARK J GRUMBINE C.Ped.
2520 COLBY AVE #5
EVERETT, WA 98201-2990
Phone number: 360-320-2478
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Mailing Address
-- MARK J GRUMBINE C.Ped.
26127 74TH AVE NW
STANWOOD, WA 98292-6215
Phone number: 360-631-8385
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