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1619674751
JACQUELINE COLLEEN MOORE
LAKEWOOD, WA
NPI
1619674751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT61276823)
Enumeration Date
2023-02-09
Last Update Date
2023-02-09
Business Address
JACQUELINE COLLEEN MOORE DPT
8524 STEILACOOM BLVD SW STE 201B
LAKEWOOD, WA 98498-4772
Phone number: 253-722-5511
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Mailing Address
JACQUELINE COLLEEN MOORE DPT
PO BOX 881360
STEILACOOM, WA 98388-0410
Phone number: 253-722-5511
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