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1104607498
ELYDE MARIT CARRILLO
KENNEWICK, WA
NPI
1104607498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA 60658597)
Enumeration Date
2023-10-11
Last Update Date
2023-10-11
Business Address
ELYDE MARIT CARRILLO PTA
8819 W VICTORIA AVE # 110
KENNEWICK, WA 99336-7193
Phone number: 509-783-1851
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Mailing Address
ELYDE MARIT CARRILLO PTA
8437 LENNOX ST
WEST RICHLAND, WA 99353-5533
Phone number: 509-303-0434
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