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1649477951
JEFFREY ALLEN WAGUESPACK
PUYALLUP, WA
NPI
1649477951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA 00009967)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
Mr. JEFFREY ALLEN WAGUESPACK MSPT
13424 173RD ST E
PUYALLUP, WA 98374-9281
Phone number: 253-200-1049
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Mailing Address
Mr. JEFFREY ALLEN WAGUESPACK MSPT
13424 173RD ST E
PUYALLUP, WA 98374-9281
Phone number: 253-200-1049
Copy
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