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1215911748
MARTIE JOHANNA VANWERKUM-GLIDDEN
EUREKA, CA
NPI
1215911748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT11721)
Enumeration Date
2005-11-29
Last Update Date
2007-07-08
Business Address
Mrs. MARTIE JOHANNA VANWERKUM-GLIDDEN PT
2103 MYRTLE AVE
EUREKA, CA 95501-3323
Phone number: 707-445-9150
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Mailing Address
Mrs. MARTIE JOHANNA VANWERKUM-GLIDDEN PT
2103 MYRTLE AVE
EUREKA, CA 95501-3323
Phone number: 707-445-9150
Copy
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