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1659745651
CONNIE JEAN DE MARIA
SEATTLE, WA
NPI
1659745651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P160039700)
Enumeration Date
2015-11-15
Last Update Date
2015-11-15
Business Address
-- CONNIE JEAN DE MARIA PTA
116 FAIRVIEW AVE N
SEATTLE, WA 98109-5360
Phone number: 206-254-1456
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Mailing Address
-- CONNIE JEAN DE MARIA PTA
2442 NW MARKET ST STE 235
SEATTLE, WA 98107-4137
Phone number: 206-861-4653
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