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1396436507
MARY ELIZABETH ALFONSO
TACOMA, WA
NPI
1396436507
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Former Name
MARY ELIZABETH FARDINK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2171743)
Enumeration Date
2023-05-18
Last Update Date
2023-05-18
Business Address
MARY ELIZABETH ALFONSO PTA
1301 N HIGHLANDS PKWY
TACOMA, WA 98406-2116
Phone number: 253-752-7112
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Mailing Address
MARY ELIZABETH ALFONSO PTA
3405 JUNO ST NE
LACEY, WA 98516-4503
Phone number: 928-920-1511
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