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1821318122
JACK CARPENTER
RICHLAND, WA
NPI
1821318122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60151910)
Enumeration Date
2010-06-09
Last Update Date
2010-06-09
Business Address
JACK CARPENTER PT
875 SWIFT BLVD
RICHLAND, WA 99352-3592
Phone number: 509-943-8977
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Mailing Address
JACK CARPENTER PT
2839 W KENNEWICK AVE # 550
KENNEWICK, WA 99336-2927
Phone number: 509-783-8977
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