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1043094998
ISAIAH LEREAU
TACOMA, WA
NPI
1043094998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT61472736)
Enumeration Date
2023-08-22
Last Update Date
2023-09-12
Business Address
ISAIAH LEREAU DPT
615 S BAKER ST
TACOMA, WA 98402-2318
Phone number: 253-200-0741
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Mailing Address
ISAIAH LEREAU DPT
7719 64TH AVE E
PUYALLUP, WA 98371-5515
Phone number: 253-651-7411
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