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1427583210
BRYAN JOSEPH TICE
LONG BEACH, CA
NPI
1427583210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: CA E098624)
Enumeration Date
2017-04-28
Last Update Date
2017-04-28
Business Address
-- BRYAN JOSEPH TICE EMT
4340 MAURY AVE
LONG BEACH, CA 90807-2537
Phone number: 562-270-6344
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Mailing Address
-- BRYAN JOSEPH TICE EMT
1114 JUNIPERO AVE APT 8
LONG BEACH, CA 90804-3510
Phone number: 562-304-3780
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