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1568505790
RYAN EDWARD MADISON
TACOMA, WA
NPI
1568505790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00008956)
Enumeration Date
2007-02-15
Last Update Date
2009-04-01
Business Address
-- RYAN EDWARD MADISON PT, MS
5032 N VASSAULT ST
TACOMA, WA 98407-1333
Phone number: 425-422-2633
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Mailing Address
-- RYAN EDWARD MADISON PT, MS
5032 N VASSAULT ST
TACOMA, WA 98407-1333
Phone number: 425-422-2633
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