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1023335130
JERMAINE LAURENCE PEAKE
VANCOUVER, WA
NPI
1023335130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: WA MA60139525)
Enumeration Date
2010-04-28
Last Update Date
2010-04-28
Business Address
MR. JERMAINE LAURENCE PEAKE LMP
15619 NE 1ST CIR
VANCOUVER, WA 98684-3349
Phone number: 360-840-4197
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Mailing Address
MR. JERMAINE LAURENCE PEAKE LMP
15619 NE 1ST CIR
VANCOUVER, WA 98684-3349
Phone number: 360-840-4197
Copy
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