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1447985601
DYLAN NEWCOMER
KENT, WA
NPI
1447985601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251S0007X Physical Therapist, Sports
(Licence: WA PT61279509)
Enumeration Date
2022-07-21
Last Update Date
2022-07-21
Business Address
DYLAN NEWCOMER Dr.
23211 66TH AVE S
KENT, WA 98032-1880
Phone number: 636-208-7866
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Mailing Address
DYLAN NEWCOMER Dr.
23211 66TH AVE S
KENT, WA 98032-1880
Phone number:
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