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1669850715
KELLY IBE
SEATTLE, WA
NPI
1669850715
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Former Name
KELLY PETTISS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P160500252)
Enumeration Date
2015-05-09
Last Update Date
2015-05-09
Business Address
-- KELLY IBE PTA
13333 GREENWOOD AVE N
SEATTLE, WA 98133-7312
Phone number: 206-446-8294
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Mailing Address
-- KELLY IBE PTA
13333 GREENWOOD AVE N
SEATTLE, WA 98133-7312
Phone number: 206-446-8294
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