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1740803246
BOUMA ORTHOSPORT, LLC
SEATTLE, WA
NPI
1740803246
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Entity Type
Organization
Authorized Contact
MARK JEFFREY BOUMA
Owner
206-200-2495
Organization Subpart ?
No
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2020-05-19
Last Update Date
2020-05-21
Business Address
BOUMA ORTHOSPORT, LLC
4037 46TH AVE SW
SEATTLE, WA 98116-3725
Phone number: 206-200-2495
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Mailing Address
BOUMA ORTHOSPORT, LLC
4037 46TH AVE SW
SEATTLE, WA 98116-3725
Phone number: 206-200-2495
Copy
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