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1558405415
CONNIE ANDERSON WICKLAND
BELLEVUE, WA
NPI
1558405415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00002578)
Enumeration Date
2007-02-16
Last Update Date
2007-07-08
Business Address
-- CONNIE ANDERSON WICKLAND
2100 124TH AVE NE SUITE 110
BELLEVUE, WA 98005-1934
Phone number: 425-556-6300
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Mailing Address
-- CONNIE ANDERSON WICKLAND
PO BOX 34584
SEATTLE, WA 98124-1584
Phone number: 509-241-7349
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