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1366402158
LAURA A IVERSON VON WULLERSTORFF
KIRKLAND, WA
NPI
1366402158
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Former Name
LAURA A IVERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00008484)
Enumeration Date
2006-03-24
Last Update Date
2012-05-16
Business Address
-- LAURA A IVERSON VON WULLERSTORFF PT
11800 NE 128TH STREET SUITE 400
KIRKLAND, WA 98034-7208
Phone number: 425-820-0869
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Mailing Address
-- LAURA A IVERSON VON WULLERSTORFF PT
1188 106TH AVE NE SUITE 100
BELLEVUE, WA 98004-8614
Phone number: 425-454-4864
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