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1376748152
JAKE RYAN ALLSTOT
SPOKANE VALLEY, WA
NPI
1376748152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-2143)
Enumeration Date
2007-06-20
Last Update Date
2007-07-08
Business Address
Mr. JAKE RYAN ALLSTOT PTA
601 S PARK RD STE 1
SPOKANE VALLEY, WA 99212-4517
Phone number: 509-921-7818
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Mailing Address
Mr. JAKE RYAN ALLSTOT PTA
715 S LINCOLN ST APT 202S
SPOKANE, WA 99204-2936
Phone number: 509-869-8741
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