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1245575505
JENNIFER LYTLE
COLVILLE, WA
NPI
1245575505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: WA OT 00001342)
Enumeration Date
2012-11-27
Last Update Date
2012-11-27
Business Address
-- JENNIFER LYTLE OTR/L
1000 E ELEP AVE
COLVILLE, WA 99114-5014
Phone number: 509-684-2573
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Mailing Address
-- JENNIFER LYTLE OTR/L
676 E 3RD AVE
COLVILLE, WA 99114-2924
Phone number: 509-685-9010
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