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1033145610
MACARIO AT CONVENTO
TACOMA, WA
NPI
1033145610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2006-06-24
Last Update Date
2007-07-08
Business Address
MR. MACARIO AT CONVENTO
PUGET SOUND HEALTH CARE SYSTEM AMERICAN LAKE DIV. 9600 VET. DR. SW
TACOMA, WA 98493-0001
Phone number: 253-583-1810
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Mailing Address
MR. MACARIO AT CONVENTO
24007 84TH AVE E
GRAHAM, WA 98338-9392
Phone number: 253-583-1810
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