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1083698070
LAURA BANNISTER
SEATTLE, WA
NPI
1083698070
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Former Name
LAURA JO NELSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00009881)
Enumeration Date
2005-12-02
Last Update Date
2013-06-17
Business Address
-- LAURA BANNISTER DPT
2612 3RD AVENUE
SEATTLE, WA 98121
Phone number: 206-686-4073
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Mailing Address
-- LAURA BANNISTER DPT
1612 NE 75TH ST
SEATTLE, WA 98115-4372
Phone number: 206-854-1809
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