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1720165913
MARK A WHITLEY
LIBERTY LAKE, WA
NPI
1720165913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00002835)
Enumeration Date
2006-11-01
Last Update Date
2013-09-23
Business Address
-- MARK A WHITLEY P.T.
23806 E BROADWAY AVE
LIBERTY LAKE, WA 99019-9665
Phone number: 509-868-7202
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Mailing Address
-- MARK A WHITLEY P.T.
23806 E BROADWAY AVE
LIBERTY LAKE, WA 99019-9665
Phone number: 509-868-7202
Copy
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