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1891100566
ANGELA DEFAZIO
PORT ORCHARD, WA
NPI
1891100566
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Former Name
ANGELA VOILES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA 60161880)
Enumeration Date
2014-06-21
Last Update Date
2014-06-21
Business Address
-- ANGELA DEFAZIO D.P.T
463 TREMONT ST W SUITE 100
PORT ORCHARD, WA 98366-3743
Phone number: 360-874-0745
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Mailing Address
-- ANGELA DEFAZIO D.P.T
463 TREMONT ST W SUITE 100
PORT ORCHARD, WA 98366-3743
Phone number: 360-874-0745
Copy
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