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1750746749
JASON HAGERUP
TACOMA, WA
NPI
1750746749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60459583)
Enumeration Date
2015-12-18
Last Update Date
2015-12-18
Business Address
-- JASON HAGERUP
315 MLK JR WAY
TACOMA, WA 98405
Phone number: 253-403-3211
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Mailing Address
-- JASON HAGERUP
1012 N I ST APT B
TACOMA, WA 98403-2167
Phone number: 415-870-3419
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