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1063731867
TERESA LYN BONAWITZ
VANCOUVER, WA
NPI
1063731867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: WA MA60042214)
Enumeration Date
2010-05-19
Last Update Date
2010-05-19
Business Address
-- TERESA LYN BONAWITZ LMP
9104 NE HIGHWAY 99
VANCOUVER, WA 98665-8925
Phone number: 360-773-5073
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Mailing Address
-- TERESA LYN BONAWITZ LMP
13306 NE 92ND ST
VANCOUVER, WA 98682-3051
Phone number: 360-260-0082
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