Jerry Dean Burtts GED

NPI 1356524219 - Counselor - 101YM0800X

NPI Details
NPI 1356524219
Gender Male
Enumeration Date 12/13/2007
Last Updated 12/13/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
514 S 13TH ST
TACOMA WA, 98402-1908, US
Phone (253) 396-5000
Fax (253) 383-5548
Business Location
514 S 13TH ST
TACOMA WA, 98402-1908, US
Phone (253) 396-5000
Fax (253) 383-5548
Toxanomy
Taxonomy Code 101YM0800X
License State Washington
License Number RC00030610
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According to our database, Mr. Jerry Dean Burtts GED NPI is 1356524219, taxonomy code is 101YM0800X and license number is RC00030610, license state is located at Washington. Jerry Dean Burtts GED physically located at 514 S 13th St, Tacoma WA, 98402-1908. NPI Number Jerry Dean Burtts GED has the Individual type.

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1356524219 NPI number is provided on an as is basis without warranty of any kind. 1356524219 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Dean Burtts GED are for informational purposes only.