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1285110247
CODY VANDER BERG
LYNDEN, WA
NPI
1285110247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2018-07-12
Last Update Date
2018-07-12
Business Address
CODY VANDER BERG DPT
8862 BENDER RD STE 101
LYNDEN, WA 98264-8800
Phone number: 360-354-1115
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Mailing Address
CODY VANDER BERG DPT
7600 MELODY LN
FERNDALE, WA 98248-7720
Phone number: 712-578-9549
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