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1801006002
BRENDA EILEEN BROYLES POWELL
VANCOUVER, WA
NPI
1801006002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00003330)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Mrs. BRENDA EILEEN BROYLES POWELL PT
8507 NE 8TH WAY
VANCOUVER, WA 98664-1980
Phone number: 360-254-5335
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Mailing Address
Mrs. BRENDA EILEEN BROYLES POWELL PT
3302 SE 146TH PL #160
VANCOUVER, WA 98683-5430
Phone number: 360-254-6097
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