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1407903255
SHONNA RENEE MOAK
FEDERAL WAY, WA
NPI
1407903255
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Former Name
SHONNA RENEE BOHLMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00009905)
Enumeration Date
2007-01-04
Last Update Date
2013-08-23
Business Address
SHONNA RENEE MOAK PT
33501 1ST WAY S
FEDERAL WAY, WA 98003-6208
Phone number: 253-838-2400
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Mailing Address
SHONNA RENEE MOAK PT
33501 1ST WAY S
FEDERAL WAY, WA 98003-6208
Phone number: 253-838-2400
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