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1316489941
SEAN JACQUAY
NEWPORT, WA
NPI
1316489941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA 60704704)
Enumeration Date
2016-11-14
Last Update Date
2016-11-14
Business Address
-- SEAN JACQUAY
714 W PINE ST
NEWPORT, WA 99156-9046
Phone number: 509-447-9308
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Mailing Address
-- SEAN JACQUAY
412 N SPOKANE AVE
NEWPORT, WA 99156-9012
Phone number:
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