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1114214079
MADHU ENJATI
LIBERTY LAKE, WA
NPI
1114214079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60213179)
Enumeration Date
2011-06-29
Last Update Date
2011-06-29
Business Address
-- MADHU ENJATI PT
21200 E COUNTRY VISTA DR D101
LIBERTY LAKE, WA 99019-7636
Phone number: 623-521-8653
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Mailing Address
-- MADHU ENJATI PT
21200 E COUNTRY VISTA DR D101
LIBERTY LAKE, WA 99019-7636
Phone number:
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