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1083784482
JEFFREY NIEDZINSKI
PUYALLUP, WA
NPI
1083784482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00008412)
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
-- JEFFREY NIEDZINSKI MPT
3912 10TH ST SE SUITE 101
PUYALLUP, WA 98374-2188
Phone number: 253-848-4700
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Mailing Address
-- JEFFREY NIEDZINSKI MPT
PO BOX 731269
PUYALLUP, WA 98373-0060
Phone number: 253-840-2313
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