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1265985469
ATHENA LARSEN
TACOMA, WA
NPI
1265985469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PU 60677876)
Enumeration Date
2016-07-25
Last Update Date
2016-07-25
Business Address
ATHENA LARSEN
223 140TH ST S STE 700
TACOMA, WA 98444-4549
Phone number: 253-531-5645
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Mailing Address
ATHENA LARSEN
223 140TH ST S STE 700
TACOMA, WA 98444-4549
Phone number: 253-531-5645
Copy
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