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1801557897
FARRIS ASHLEY RAE WAGGONER
LYNNWOOD, WA
NPI
1801557897
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Former Name
FARRIS ASHLEY RAE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT61149357)
Enumeration Date
2022-01-03
Last Update Date
2022-01-03
Business Address
-- FARRIS ASHLEY RAE WAGGONER PT, DPT
20818 44TH AVE W STE 270-P
LYNNWOOD, WA 98036-7709
Phone number: 425-672-2716
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Mailing Address
-- FARRIS ASHLEY RAE WAGGONER PT, DPT
1220 6TH AVE S APT B201
EDMONDS, WA 98020-4635
Phone number: 425-749-2227
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