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1720806854
JACK THEODORE BOYLE
REDMOND, WA
NPI
1720806854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111NS0005X Chiropractor, Sports Physician
(Licence: WA CH61609487)
Enumeration Date
2024-09-27
Last Update Date
2024-09-27
Business Address
JACK THEODORE BOYLE DC
2513 152ND AVE NE
REDMOND, WA 98052-5574
Phone number: 425-786-1415
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Mailing Address
JACK THEODORE BOYLE DC
2513 152ND AVE NE
REDMOND, WA 98052-5574
Phone number: 425-786-1415
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