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1679045546
LEANDRO MODENESE BASTOS
SPOKANE VALLEY, WA
NPI
1679045546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 296037)
Enumeration Date
2018-12-17
Last Update Date
2025-03-27
Business Address
LEANDRO MODENESE BASTOS PT DPT
12403 E 1ST AVE
SPOKANE VALLEY, WA 99216-0702
Phone number: 509-370-7597
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Mailing Address
LEANDRO MODENESE BASTOS PT DPT
4915 W ROSEWOOD AVE
SPOKANE, WA 99208-3740
Phone number: 562-212-8477
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