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1053963637
SHRUTI PRAMOD MANGALORE
TACOMA, WA
NPI
1053963637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60310605)
Enumeration Date
2019-07-12
Last Update Date
2019-07-12
Business Address
Miss SHRUTI PRAMOD MANGALORE MPT
1720 E 67TH ST
TACOMA, WA 98404-4223
Phone number: 253-474-1741
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Mailing Address
Miss SHRUTI PRAMOD MANGALORE MPT
2368 YAKIMA AVE UNIT 525
TACOMA, WA 98405-3917
Phone number: 919-268-3108
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