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1164605432
LAURIE CAROL HETTINGA
ALBANY, CA
NPI
1164605432
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Former Name
LAURIE CAROL MCCAIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00010816)
Enumeration Date
2007-12-10
Last Update Date
2020-08-18
Business Address
Ms. LAURIE CAROL HETTINGA DPT
948 SAN PABLO AVE
ALBANY, CA 94706-2010
Phone number: 510-414-7191
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Mailing Address
Ms. LAURIE CAROL HETTINGA DPT
925 SENECA ST BOX 900
SEATTLE, WA 98101-2742
Phone number: 206-341-0461
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