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1184180499
JACK EVAN BRYANT
SEATTLE, WA
NPI
1184180499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60924984)
Enumeration Date
2019-02-12
Last Update Date
2022-09-12
Business Address
JACK EVAN BRYANT DPT
10601 5TH AVE NE STE 201
SEATTLE, WA 98125-7205
Phone number: 206-223-6999
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Mailing Address
JACK EVAN BRYANT DPT
1436 N 92ND ST
SEATTLE, WA 98103-3318
Phone number: 714-402-5235
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