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1528846185
BRENTON JOSE SPRAGUE
MILL CREEK, WA
NPI
1528846185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2023-09-15
Last Update Date
2023-09-15
Business Address
BRENTON JOSE SPRAGUE
15906 MILL CREEK BLVD STE 106
MILL CREEK, WA 98012-1797
Phone number: 425-332-1030
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Mailing Address
BRENTON JOSE SPRAGUE
19818 28TH AVE W
LYNNWOOD, WA 98036-6910
Phone number: 425-239-6330
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