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1487145868
SHAYNE LEON SPARROW
TACOMA, WA
NPI
1487145868
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Former Name
SHAYNE LEON STOCKTON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146L00000X Emergency Medical Technician, Paramedic
(Licence: M0983833)
Enumeration Date
2018-05-22
Last Update Date
2018-05-22
Business Address
SHAYNE LEON SPARROW Paramedic
9040 JACKSON AVE ATTN: MCHJ-CLQ-C
TACOMA, WA 98431-0001
Phone number: 253-968-0940
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Mailing Address
SHAYNE LEON SPARROW Paramedic
207 TERRACE CT
VANDENBERG AFB, CA 93437-1437
Phone number: 504-430-2005
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