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1255987327
NOLAN SHAWN OMALLEY
SUMNER, WA
NPI
1255987327
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60962719)
Enumeration Date
2019-08-14
Last Update Date
2019-08-14
Business Address
NOLAN SHAWN OMALLEY DPT
5814 GRAHAM AVE STE 101
SUMNER, WA 98390-2728
Phone number: 253-891-7093
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Mailing Address
NOLAN SHAWN OMALLEY DPT
1732 N PROSPECT ST
TACOMA, WA 98406-8110
Phone number: 239-692-1569
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