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1154788420
CRYSTAL GAYLE PHILLIPS
BONNEY LAKE, WA
NPI
1154788420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WA OC60606631)
Enumeration Date
2016-01-18
Last Update Date
2016-01-18
Business Address
Miss CRYSTAL GAYLE PHILLIPS COTA/L
20063 STATE ROUTE 410 E
BONNEY LAKE, WA 98391-8460
Phone number: 253-447-8562
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Mailing Address
Miss CRYSTAL GAYLE PHILLIPS COTA/L
20063 STATE ROUTE 410 E
BONNEY LAKE, WA 98391-8460
Phone number: 253-447-8562
Copy
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