JOHN PAUL MARCEL FAIRHART

CENTRALIA, WA
NPI1801297379
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT60482042)
Enumeration Date2014-09-15
Last Update Date2014-11-21
Business Address
-- JOHN PAUL MARCEL FAIRHART DPT
1118 VIEW AVE
CENTRALIA, WA 98531-1870
Phone number: 360-736-5273
Mailing Address
-- JOHN PAUL MARCEL FAIRHART DPT
4740 AVERY LN SE
LACEY, WA 98503-5603
Phone number: 360-736-5273
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