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1306610407
JAMES CHARLES BRADLEY STICKLES
VANCOUVER, WA
NPI
1306610407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 9687)
Enumeration Date
2023-11-09
Last Update Date
2023-11-09
Business Address
JAMES CHARLES BRADLEY STICKLES PTA
2621 NE 134TH ST STE 140
VANCOUVER, WA 98686-3036
Phone number: 360-504-0122
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Mailing Address
JAMES CHARLES BRADLEY STICKLES PTA
2621 NE 134TH ST STE 140
VANCOUVER, WA 98686-3036
Phone number: 360-504-0122
Copy
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