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1780248088
CALVIN CHANG
RENTON, WA
NPI
1780248088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60379845)
Enumeration Date
2019-04-23
Last Update Date
2019-04-23
Business Address
CALVIN CHANG
400 S 43RD ST
RENTON, WA 98055-5714
Phone number: 425-251-5165
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Mailing Address
CALVIN CHANG
3600 LIND AVE SW SUITE 100 ATTN CREDENTIALING
RENTON, WA 98057
Phone number: 425-228-3440
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