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1700184165
SUSAN J POTTER
YAKIMA, WA
NPI
1700184165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA p1 60040990)
Enumeration Date
2011-03-09
Last Update Date
2011-03-09
Business Address
Mrs. SUSAN J POTTER PTA
710 N 39TH AVE
YAKIMA, WA 98902-6342
Phone number: 509-248-4102
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Mailing Address
Mrs. SUSAN J POTTER PTA
1402 CONRAD AVE
YAKIMA, WA 98902-5276
Phone number: 509-453-7789
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