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JEROME TYRRELL JEROME IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
EMT

Contact information

Practice address
913 KOALA DR, OMAK, WA 98841-9576
(509) 663-4602
Mailing address
12310 VILLAGE VIEW DR, LEAVENWORTH, WA 98826-9169
(509) 881-1123

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
EMS.ES.70111053
WA

Other

Enumeration date
04/30/2026
Last updated
04/30/2026
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