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1275904849
LAURA HEINEMANN JACKSON
SEATTLE, WA
NPI
1275904849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WA 60537980)
Enumeration Date
2015-10-08
Last Update Date
2015-10-08
Business Address
-- LAURA HEINEMANN JACKSON OTR/L
1959 NE PACIFIC ST
SEATTLE, WA 98195-0001
Phone number: 206-598-3300
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Mailing Address
-- LAURA HEINEMANN JACKSON OTR/L
6201 24TH AVE NW APARTMENT 12
SEATTLE, WA 98107-2496
Phone number: 208-308-1052
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