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1144696030
CALEB MATLOCK DOTSON
LIBERTY LAKE, WA
NPI
1144696030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA 60825475)
Enumeration Date
2015-08-14
Last Update Date
2018-04-16
Business Address
CALEB MATLOCK DOTSON
23410 E MISSION AVE STE 2
LIBERTY LAKE, WA 99019-7515
Phone number: 509-891-2258
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Mailing Address
CALEB MATLOCK DOTSON
16083 SW UPPER BOONES FERRY RD STE 300
TIGARD, OR 97224-7736
Phone number: 800-219-8835
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