GAVIN WAYNE LONG

SEATTLE, WA
NPI1619742905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-11-16
Last Update Date2023-11-16
Business Address
GAVIN WAYNE LONG
1959 NE PACIFIC ST
SEATTLE, WA 98195-0001
Phone number: 206-543-0903
Mailing Address
GAVIN WAYNE LONG
1959 NE PACIFIC ST
SEATTLE, WA 98195-6365
Phone number: 206-543-0903
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