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1528545886
CARLY JOHNSON
PULLMAN, WA
NPI
1528545886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA 60838792)
Enumeration Date
2018-07-19
Last Update Date
2018-07-19
Business Address
CARLY JOHNSON PTA
2560 NE HOPKINS CT
PULLMAN, WA 99163-5622
Phone number: 206-383-6182
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Mailing Address
CARLY JOHNSON PTA
PO BOX 415
PULLMAN, WA 99163-0415
Phone number: 206-383-6182
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