BRYAN KEITH GAUCK

LACEY, WA
NPI1790550333
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: KY  2029637)
Enumeration Date2023-11-22
Last Update Date2023-11-22
Business Address
BRYAN KEITH GAUCK LPN
4200 6TH AVE SE STE 201
LACEY, WA 98503-1042
Phone number: 360-459-8311
Mailing Address
BRYAN KEITH GAUCK LPN
PO BOX 1035
SILVER SPRINGS, NV 89429-1035
Phone number: 859-414-5917
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