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1578810610
BRYCE CAMERON ELLGEN
DEER PARK, WA
NPI
1578810610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60290555)
Enumeration Date
2012-08-08
Last Update Date
2016-12-05
Business Address
Mr. BRYCE CAMERON ELLGEN DPT
702 S PARK ST
DEER PARK, WA 99006-7025
Phone number: 509-276-2005
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Mailing Address
Mr. BRYCE CAMERON ELLGEN DPT
6015 W CROWCHIEF CT
SPOKANE, WA 99208-9312
Phone number: 509-448-9358
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