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1225640352
SHAUN LAVIGNE
TACOMA, WA
NPI
1225640352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT61077186)
Enumeration Date
2020-08-19
Last Update Date
2022-09-26
Business Address
SHAUN LAVIGNE
811 PACIFIC AVE # 2
TACOMA, WA 98402-5231
Phone number: 253-533-9023
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Mailing Address
SHAUN LAVIGNE
4617 N ORCHARD ST
TACOMA, WA 98407-4424
Phone number:
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