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1366536872
CHARLES VENEMON
PUYALLUP, WA
NPI
1366536872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00002054)
Enumeration Date
2006-10-02
Last Update Date
2007-10-18
Business Address
Mr. CHARLES VENEMON PT
2520 7TH ST SE
PUYALLUP, WA 98374-1105
Phone number: 253-848-2309
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Mailing Address
Mr. CHARLES VENEMON PT
2520 7TH ST SE
PUYALLUP, WA 98374-1105
Phone number: 253-848-2309
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