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1053971556
LEVI JOHN VANTOL
VANCOUVER, WA
NPI
1053971556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA 60934354)
Enumeration Date
2019-06-17
Last Update Date
2019-06-17
Business Address
Dr. LEVI JOHN VANTOL PT, DPT
2500 NE 65TH AVE
VANCOUVER, WA 98661-6812
Phone number: 360-750-7500
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Mailing Address
Dr. LEVI JOHN VANTOL PT, DPT
37307 NE 94TH AVE
LA CENTER, WA 98629-4216
Phone number: 360-690-6024
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