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1003236274
MIKE B HEARRON
BELLEVUE, WA
NPI
1003236274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60461336)
Enumeration Date
2014-04-25
Last Update Date
2015-07-12
Business Address
-- MIKE B HEARRON DPT
1188 106TH AVE NE SUITE 100
BELLEVUE, WA 98004-8612
Phone number: 425-455-2630
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Mailing Address
-- MIKE B HEARRON DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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