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1376068981
MARK W DEBOURKE
REDMOND, WA
NPI
1376068981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2017-08-04
Last Update Date
2017-08-04
Business Address
MARK W DEBOURKE DPT
7579 OLD REDMOND RD APT 6
REDMOND, WA 98052
Phone number: 215-379-3645
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Mailing Address
MARK W DEBOURKE DPT
7579 OLD REDMOND RD APT 6
REDMOND, WA 98052-6828
Phone number:
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