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1639376213
DEBBIE LEE FASTENOW
VANCOUVER, WA
NPI
1639376213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 7662)
Enumeration Date
2007-06-28
Last Update Date
2007-07-08
Business Address
-- DEBBIE LEE FASTENOW PTA
201 NE PARK PLAZA DR STE 246
VANCOUVER, WA 98684-5874
Phone number: 360-696-1070
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Mailing Address
-- DEBBIE LEE FASTENOW PTA
50136 SE WEBER RD
SANDY, OR 97055-7420
Phone number: 503-668-9239
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