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1548906480
SHELBY A PRADER
FEDERAL WAY, WA
NPI
1548906480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P161208458)
Enumeration Date
2022-05-11
Last Update Date
2022-05-11
Business Address
Ms. SHELBY A PRADER PTA
529 SW 294TH ST
FEDERAL WAY, WA 98023-3540
Phone number: 763-234-6859
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Mailing Address
Ms. SHELBY A PRADER PTA
529 SW 294TH ST
FEDERAL WAY, WA 98023-3540
Phone number: 763-234-6859
Copy
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