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1265016778
ALLISON NICOLE JORDAN CHAVEZ
SPOKANE VALLEY, WA
NPI
1265016778
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Former Name
ALLISON NICOLE JORDAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2021-05-11
Last Update Date
2022-04-05
Business Address
ALLISON NICOLE JORDAN CHAVEZ
1005 N EVERGREEN RD STE 10
SPOKANE VALLEY, WA 99216-1485
Phone number: 503-443-6156
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Mailing Address
ALLISON NICOLE JORDAN CHAVEZ
16083 SW UPPER BOONES FERRY RD STE 300
PORTLAND, OR 97224-7736
Phone number: 503-443-6156
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