THOMAS A BREITENBAUCH

VANCOUVER, WA
NPI1588201123
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2019-12-02
Last Update Date2019-12-02
Business Address
THOMAS A BREITENBAUCH
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661-3717
Phone number: 360-397-8246
Mailing Address
THOMAS A BREITENBAUCH
PO BOX 1678
VANCOUVER, WA 98668-1678
Phone number: 360-397-8246
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