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1508411489
JACOB CLAYTON WELLER
SPOKANE VALLEY, WA
NPI
1508411489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT014147)
Enumeration Date
2019-08-07
Last Update Date
2021-10-05
Business Address
JACOB CLAYTON WELLER PT
12410 E SINTO AVE STE 205
SPOKANE VALLEY, WA 99216-2280
Phone number: 509-922-5156
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Mailing Address
JACOB CLAYTON WELLER PT
100 DENNIS ST SW STE B
TUMWATER, WA 98501-6523
Phone number: 360-338-0181
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