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1750490538
SUSAN M MACK
TACOMA, WA
NPI
1750490538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00006329)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
SUSAN M MACK PT
1830 112TH ST E STE D
TACOMA, WA 98445-3747
Phone number: 253-548-8400
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Mailing Address
SUSAN M MACK PT
4227 INDIAN SUMMER DR SE
OLYMPIA, WA 98513-4770
Phone number: 360-456-1945
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