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1609404409
MONTANA WYNN GUBRUD
TACOMA, WA
NPI
1609404409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: WA EMT.ES.61027626)
Enumeration Date
2020-03-29
Last Update Date
2020-03-31
Business Address
MONTANA WYNN GUBRUD
1705 DOCK ST UNIT 334
TACOMA, WA 98402-3216
Phone number: 970-401-4070
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Mailing Address
MONTANA WYNN GUBRUD
1705 DOCK ST UNIT 334
TACOMA, WA 98402-3216
Phone number: 970-401-4070
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