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1427746585
CHARLES LAWSON VICKERY
BELLINGHAM, WA
NPI
1427746585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA 60132807)
Enumeration Date
2023-04-26
Last Update Date
2023-04-26
Business Address
Mr. CHARLES LAWSON VICKERY PTA
1014 11TH ST APT 204
BELLINGHAM, WA 98225-6645
Phone number: 360-927-9611
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Mailing Address
Mr. CHARLES LAWSON VICKERY PTA
1014 11TH ST APT 204
BELLINGHAM, WA 98225-6645
Phone number: 360-927-9611
Copy
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