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1649511684
MARY M MAYBERRY
TACOMA, WA
NPI
1649511684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P1 60045694)
Enumeration Date
2013-03-14
Last Update Date
2013-03-14
Business Address
MARY M MAYBERRY PTA
6004 WESTGATE BLVD #220
TACOMA, WA 98406-2503
Phone number: 253-759-4065
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Mailing Address
MARY M MAYBERRY PTA
109 NORTHWEST ELDREDGE AVENUE
ORTING, WA 98360-0486
Phone number: 253-341-1276
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