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1699886341
MELISSA BLICKENSTAFF
VANCOUVER, WA
NPI
1699886341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05007624A)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- MELISSA BLICKENSTAFF MSPT
1601 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661-3753
Phone number: 360-696-4061
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Mailing Address
-- MELISSA BLICKENSTAFF MSPT
16611 NE 14TH AVE
RIDGEFIELD, WA 98642-5642
Phone number:
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