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1578043089
JACOB JOHN KMIECIK
SEATTLE, WA
NPI
1578043089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60852959)
Enumeration Date
2018-08-15
Last Update Date
2018-08-15
Business Address
JACOB JOHN KMIECIK DPT
1218 3RD AVE STE 104
SEATTLE, WA 98101-3008
Phone number: 206-447-2220
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Mailing Address
JACOB JOHN KMIECIK DPT
5450 LEARY AVE NW APT 643
SEATTLE, WA 98107-4081
Phone number: 402-350-3146
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