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1053678474
KEANE A. K KUAPAHI
PUYALLUP, WA
NPI
1053678474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P16000029289)
Enumeration Date
2012-04-23
Last Update Date
2012-04-23
Business Address
Mr. KEANE A. K KUAPAHI PTA
3850 S MERIDIAN
PUYALLUP, WA 98373-3701
Phone number: 253-845-9098
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Mailing Address
Mr. KEANE A. K KUAPAHI PTA
1423 N PROSPECT ST
TACOMA, WA 98406-8011
Phone number: 808-258-5449
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