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1386991990
SUSAN LYNETTE BURGESS
OLYMPIA, WA
NPI
1386991990
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Former Name
SUSAN LYNETTE HENSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WA OT00001922)
Enumeration Date
2012-08-14
Last Update Date
2012-08-14
Business Address
Mrs. SUSAN LYNETTE BURGESS Occupational Therapi
410 PROVIDENCE LANE NE
OLYMPIA, WA 98506
Phone number: 360-493-4995
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Mailing Address
Mrs. SUSAN LYNETTE BURGESS Occupational Therapi
410 PROVIDENCE LANE NE
OLYMPIA, WA 98506
Phone number: 360-493-4995
Copy
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