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1366896177
BRYAN GIMA-DERROW
EVERETT, WA
NPI
1366896177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA A160656701)
Enumeration Date
2016-04-18
Last Update Date
2016-11-19
Business Address
Mr. BRYAN GIMA-DERROW MS, LAT, ATC
3003 W CASINO RD MAIL CODE: 0K-47
EVERETT, WA 98204-1910
Phone number: 425-903-6204
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Mailing Address
Mr. BRYAN GIMA-DERROW MS, LAT, ATC
13916 N CREEK DR 3131
MILL CREEK, WA 98012-8416
Phone number: 707-628-5058
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