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1609983972
JACALYN BREIDENBACH
PUYALLUP, WA
NPI
1609983972
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Former Name
JACALYN GRAY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00008243)
Enumeration Date
2006-08-24
Last Update Date
2014-08-25
Business Address
-- JACALYN BREIDENBACH MPT
126 15TH ST SE
PUYALLUP, WA 98372-3409
Phone number: 253-445-8663
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Mailing Address
-- JACALYN BREIDENBACH MPT
2515 140TH AVE NE SUITE 110
BELLEVUE, WA 98005-1862
Phone number: 425-644-4100
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