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1750430252
SANDRA J MIRACLE
MOUNT VERNON, WA
NPI
1750430252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00007782)
Enumeration Date
2007-01-10
Last Update Date
2014-08-04
Business Address
Mrs. SANDRA J MIRACLE PT
111 S 12TH ST SUITE B
MOUNT VERNON, WA 98274-4000
Phone number: 360-419-9300
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Mailing Address
Mrs. SANDRA J MIRACLE PT
10505 19TH AVE SE SUITE B
EVERETT, WA 98208-4280
Phone number: 408-570-0510
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