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1255667515
CASEY LYN GOTTSCHALK
VANCOUVER, WA
NPI
1255667515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: WA MA00021022)
Enumeration Date
2009-10-21
Last Update Date
2009-10-21
Business Address
-- CASEY LYN GOTTSCHALK LMP
11515 NE 32ND ST
VANCOUVER, WA 98682-8723
Phone number: 218-791-9826
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Mailing Address
-- CASEY LYN GOTTSCHALK LMP
11515 NE 32ND ST
VANCOUVER, WA 98682-8723
Phone number: 218-791-9826
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