MARTIN J BLAZEKOVIC

MEDICAL LAKE, WA
NPI1073699070
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT00005962)
Enumeration Date2006-10-31
Last Update Date2007-07-08
Business Address
Mr. MARTIN J BLAZEKOVIC
800 WEST MAPLE STREET
MEDICAL LAKE, WA 99022-0800
Phone number: 509-299-3121
Mailing Address
Mr. MARTIN J BLAZEKOVIC
800 WEST MAPLE STREET
MEDICAL LAKE, WA 99022-0800
Phone number: 509-299-3121
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