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1164768008
KELLY AVANT
TACOMA, WA
NPI
1164768008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO 0011981)
Enumeration Date
2012-12-21
Last Update Date
2019-09-27
Business Address
KELLY AVANT PT
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431-0001
Phone number: 253-968-1518
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Mailing Address
KELLY AVANT PT
WOMACK ARMY MEDICAL CTR 2817 REILLY RD
FORT BRAGG, NC 28310-0001
Phone number:
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