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1093708950
SUSAN M BEARDEMPHL
BONNEY LAKE, WA
NPI
1093708950
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Former Name
SUSAN M GREEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00005235)
Enumeration Date
2005-08-25
Last Update Date
2015-07-02
Business Address
-- SUSAN M BEARDEMPHL PT
10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391-6539
Phone number: 253-863-7510
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Mailing Address
-- SUSAN M BEARDEMPHL PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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