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1144201484
SUSAN MIYE KAEKA
TACOMA, WA
NPI
1144201484
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Former Name
SUSAN MIYE MAYENO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00005383)
Enumeration Date
2005-11-11
Last Update Date
2016-02-11
Business Address
Mrs. SUSAN MIYE KAEKA P.T.
2102 N PEARL #203
TACOMA, WA 98406-2550
Phone number: 253-756-7878
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Mailing Address
Mrs. SUSAN MIYE KAEKA P.T.
2102 N. PEARL #203
TACOMA, WA 98406-2550
Phone number: 253-756-7878
Copy
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