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1801297379
JOHN PAUL MARCEL FAIRHART
CENTRALIA, WA
NPI
1801297379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60482042)
Enumeration Date
2014-09-15
Last Update Date
2014-11-21
Business Address
-- JOHN PAUL MARCEL FAIRHART DPT
1118 VIEW AVE
CENTRALIA, WA 98531-1870
Phone number: 360-736-5273
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Mailing Address
-- JOHN PAUL MARCEL FAIRHART DPT
4740 AVERY LN SE
LACEY, WA 98503-5603
Phone number: 360-736-5273
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