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1659148989
DOUGLAS DALE FULLMER
PUYALLUP, WA
NPI
1659148989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA 61491282)
Enumeration Date
2023-12-06
Last Update Date
2023-12-06
Business Address
DOUGLAS DALE FULLMER PT
8105 124TH ST E
PUYALLUP, WA 98373-4933
Phone number: 775-296-1996
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Mailing Address
DOUGLAS DALE FULLMER PT
8105 124TH ST E
PUYALLUP, WA 98373-4933
Phone number: 775-296-1996
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