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1417165812
PHYLLIS MARIE GROSS
NESPELEM, WA
NPI
1417165812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: WA 1170876)
Enumeration Date
2007-05-18
Last Update Date
2007-07-09
Business Address
-- PHYLLIS MARIE GROSS EMT-B
1 COLVILLE STREET
NESPELEM, WA 99155
Phone number: 509-634-2727
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Mailing Address
-- PHYLLIS MARIE GROSS EMT-B
1 COLVILLE STREET
NESPELEM, WA 99155
Phone number: 509-634-2727
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