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Individual
MARK ALAN TROMBOLD
Active
Individual
MARK ALAN TROMBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005317
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0112120
LABOR AND INDUSTRIES
WA
01
—
5863485
AETNA
WA
01
—
TR5885
REGENCE
WA
Enumeration date
12/08/2010
Last updated
12/08/2010
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