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1003021569
TIARI GARDNER DEGRAW
FEDERAL WAY, WA
NPI
1003021569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
TIARI GARDNER DEGRAW PTA
1010 S 336TH ST STE 120
FEDERAL WAY, WA 98003-7354
Phone number: 866-835-8091
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Mailing Address
TIARI GARDNER DEGRAW PTA
5802 162ND AVE E
SUMNER, WA 98390-3108
Phone number: 253-891-3108
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