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1760414320
LANE MATTHEW NUSSBAUM
SPOKANE, WA
NPI
1760414320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00009353)
Enumeration Date
2006-07-06
Last Update Date
2022-12-07
Business Address
LANE MATTHEW NUSSBAUM PT
2710 E 57TH AVE
SPOKANE, WA 99223-6678
Phone number: 509-252-2354
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Mailing Address
LANE MATTHEW NUSSBAUM PT
2710 E 57TH AVE
SPOKANE, WA 99223-6678
Phone number: 509-252-2354
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