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1366425225
DAVA MAE MCNUTT
PORT ANGELES, WA
NPI
1366425225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00002223)
Enumeration Date
2005-11-23
Last Update Date
2012-11-09
Business Address
-- DAVA MAE MCNUTT PT
1114 GEORGIANA ST
PORT ANGELES, WA 98362-4212
Phone number: 360-452-6216
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Mailing Address
-- DAVA MAE MCNUTT PT
16083 SW UPPER BOONES FERRY RD STE 300
TIGARD, OR 97224-7736
Phone number: 800-219-8835
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