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1710608013
ETHAN JO BABAUTA
BREMERTON, WA
NPI
1710608013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-09-06
Last Update Date
2022-09-06
Business Address
ETHAN JO BABAUTA
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
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Mailing Address
ETHAN JO BABAUTA
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
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