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1316027196
ELAINA VINCENZA GRANER
BREMERTON, WA
NPI
1316027196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: WA OT00002226)
Enumeration Date
2006-10-16
Last Update Date
2007-07-09
Business Address
-- ELAINA VINCENZA GRANER OTR/L
3720 S MISSION RD W
BREMERTON, WA 98312-9719
Phone number: 360-731-6987
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Mailing Address
-- ELAINA VINCENZA GRANER OTR/L
3720 S MISSION RD W
BREMERTON, WA 98312-9719
Phone number: 360-731-6987
Copy
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