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1619211430
JUWANA HODGE
TACOMA, WA
NPI
1619211430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P160236507)
Enumeration Date
2012-11-16
Last Update Date
2012-11-16
Business Address
-- JUWANA HODGE PTA
6004 WESTGATE BLVD
TACOMA, WA 98406-2503
Phone number: 253-759-4065
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Mailing Address
-- JUWANA HODGE PTA
6611 MCKINLEY AVE
TACOMA, WA 98404-1814
Phone number: 253-228-5770
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