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1053651950
DEBRA LILLIAN FASEL
POULSBO, WA
NPI
1053651950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: WA MA 60192647)
Enumeration Date
2013-03-01
Last Update Date
2013-03-01
Business Address
Ms. DEBRA LILLIAN FASEL LMP
20307 VIKING AVE NW
POULSBO, WA 98370-8321
Phone number: 360-697-3737
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Mailing Address
Ms. DEBRA LILLIAN FASEL LMP
10992 CENTRAL VALLEY RD NE
POULSBO, WA 98370-8144
Phone number: 360-509-4741
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