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1700461050
MARISSA NORTHUP
MILL CREEK, WA
NPI
1700461050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA 60968438)
Enumeration Date
2021-03-17
Last Update Date
2021-03-17
Business Address
MARISSA NORTHUP
15906 MILL CREEK BLVD
MILL CREEK, WA 98012-1797
Phone number: 425-332-1030
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Mailing Address
MARISSA NORTHUP
18818 FREMONT AVE N
SHORELINE, WA 98133-3823
Phone number: 206-200-9779
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