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1912377169
SAMUEL BAWCUM
SEATTLE, WA
NPI
1912377169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146L00000X Emergency Medical Technician, Paramedic
(Licence: NM 26031)
Enumeration Date
2015-09-30
Last Update Date
2015-09-30
Business Address
-- SAMUEL BAWCUM
4259 23RD AVE W STE 200
SEATTLE, WA 98199-1534
Phone number: 206-686-4878
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Mailing Address
-- SAMUEL BAWCUM
510 BRYN MAWR DR SE
ALBUQUERQUE, NM 87106-2302
Phone number: 505-710-8418
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