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1003537416
JACOB CHRISTOPHER BURGGRAFF
VANCOUVER, WA
NPI
1003537416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT61335329)
Enumeration Date
2022-09-06
Last Update Date
2023-03-01
Business Address
JACOB CHRISTOPHER BURGGRAFF PT, DPT
7409 NE HAZEL DELL AVE STE 112
VANCOUVER, WA 98665-8337
Phone number: 360-597-4048
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Mailing Address
JACOB CHRISTOPHER BURGGRAFF PT, DPT
1940 S BONITO WAY STE 190
MERIDIAN, ID 83642-5618
Phone number: 208-287-9420
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