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1316457260
KELLY ELAINE CONSTABLE
VANCOUVER, WA
NPI
1316457260
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Former Name
KELLY ELAINE JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT61190260)
Enumeration Date
2017-10-05
Last Update Date
2023-08-25
Business Address
KELLY ELAINE CONSTABLE DPT
2415 NE 134TH ST STE 201
VANCOUVER, WA 98686-3032
Phone number: 360-859-3346
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Mailing Address
KELLY ELAINE CONSTABLE DPT
1650 LYNDON FARM CT STE 300
LOUISVILLE, KY 40223-5005
Phone number: 343-231-5364
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