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1083265334
KEAGAN TICE
UNIVERSITY PLACE, WA
NPI
1083265334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT61001367)
Enumeration Date
2019-09-26
Last Update Date
2019-09-26
Business Address
KEAGAN TICE PT
7727 40TH ST W STE A
UNIVERSITY PLACE, WA 98466-3146
Phone number: 253-460-1362
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Mailing Address
KEAGAN TICE PT
6050 TACOMA MALL BLVD STE 300
TACOMA, WA 98409-6828
Phone number: 253-581-5200
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