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1649505934
NICOLAS GORIS
ELLENSBURG, WA
NPI
1649505934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P160046819)
Enumeration Date
2009-10-05
Last Update Date
2009-10-05
Business Address
-- NICOLAS GORIS PTA
1050 E MOUNTAIN VIEW AVE
ELLENSBURG, WA 98926-3930
Phone number: 509-925-4171
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Mailing Address
-- NICOLAS GORIS PTA
1050 E MOUNTAIN VIEW AVE
ELLENSBURG, WA 98926-3930
Phone number: 509-925-4171
Copy
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