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1306629613
TYSON LEE SHANHOLTZER
PORT ORCHARD, WA
NPI
1306629613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT61472735)
Enumeration Date
2023-08-18
Last Update Date
2023-08-18
Business Address
TYSON LEE SHANHOLTZER
451 SW SEDGWICK RD
PORT ORCHARD, WA 98367-6447
Phone number: 360-845-1801
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Mailing Address
TYSON LEE SHANHOLTZER
451 SW SEDGWICK RD
PORT ORCHARD, WA 98367-6447
Phone number: 360-845-1801
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