BLAKE BUSSING

LONGVIEW, WA
NPI1598328221
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2019-04-18
Last Update Date2019-04-18
Business Address
BLAKE BUSSING
170 BEEMON DR
LONGVIEW, WA 98632-9133
Phone number: 360-560-6820
Mailing Address
BLAKE BUSSING
170 BEEMON DR
LONGVIEW, WA 98632-9133
Phone number: 360-560-6820
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