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1447515275
CHANTELLE M BRUYN
HONOLULU, HI
NPI
1447515275
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Former Name
CHANTELLE MARIE PALACIOS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60292662)
Enumeration Date
2012-07-09
Last Update Date
2015-08-21
Business Address
-- CHANTELLE M BRUYN PT
615 PIIKOI STREET SUITE 1114
HONOLULU, HI 96814-3141
Phone number: 808-593-9733
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Mailing Address
-- CHANTELLE M BRUYN PT
615 PIIKOI STREET SUITE 1114
HONOLULU, HI 96814-3141
Phone number: 808-593-9733
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