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1134136617
STACI MICHELLE WARREN
FEDERAL WAY, WA
NPI
1134136617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00009213)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
Mrs. STACI MICHELLE WARREN DPT
900 S 336TH ST
FEDERAL WAY, WA 98003-6311
Phone number: 253-942-3308
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Mailing Address
Mrs. STACI MICHELLE WARREN DPT
4302 BROWNSPOINT BLVD. NE
TACOMA, WA 98422
Phone number: 253-241-2470
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