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1528016060
SHANE DEAN MCDONALD
TACOMA, WA
NPI
1528016060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00010016)
Enumeration Date
2006-05-05
Last Update Date
2022-07-21
Business Address
SHANE DEAN MCDONALD P.T.
9040 JACKSON AVE
TACOMA, WA 98431-5285
Phone number: 253-968-2252
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Mailing Address
SHANE DEAN MCDONALD P.T.
62ND MEDICAL BRIGADE BLDG 2019 LIGGET AVE
JBLM, WA 98433
Phone number:
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