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1841702123
JODY THOMAS BANCROFT
VANCOUVER, WA
NPI
1841702123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA p160775448)
Enumeration Date
2017-10-26
Last Update Date
2017-10-26
Business Address
JODY THOMAS BANCROFT PTA
8507 NE 8TH WAY
VANCOUVER, WA 98664-1980
Phone number: 360-254-5335
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Mailing Address
JODY THOMAS BANCROFT PTA
115 E 35TH ST
VANCOUVER, WA 98663-2206
Phone number:
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