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1891074456
DIANA GANTT
VANCOUVER, WA
NPI
1891074456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 6583)
Enumeration Date
2011-08-12
Last Update Date
2011-08-12
Business Address
-- DIANA GANTT DPT
11301 SE10TH ST APT 206
VANCOUVER, WA 98664
Phone number: 706-414-3342
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Mailing Address
-- DIANA GANTT DPT
11301 SE10TH ST APT 206
VANCOUVER, WA 98664
Phone number: 706-414-3342
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