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1114032463
PATRICIA SUE VANWAGNER
VANCOUVER, WA
NPI
1114032463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 5028)
Enumeration Date
2006-08-20
Last Update Date
2007-10-08
Business Address
-- PATRICIA SUE VANWAGNER
201 NW 78TH ST
VANCOUVER, WA 98665-7904
Phone number: 360-694-9686
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Mailing Address
-- PATRICIA SUE VANWAGNER
22710 126TH PL SE
KENT, WA 98031-3666
Phone number:
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