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1851598759
LESLIE A PHERNETTON
VANCOUVER, WA
NPI
1851598759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 7195)
Enumeration Date
2007-07-02
Last Update Date
2007-07-08
Business Address
LESLIE A PHERNETTON PTA
901 W 16TH ST
VANCOUVER, WA 98660-2740
Phone number: 360-258-0242
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Mailing Address
LESLIE A PHERNETTON PTA
PO BOX 61933
VANCOUVER, WA 98666-1933
Phone number: 360-258-0242
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