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1902060197
GRACE BIRD ELLISON
EVERETT, WA
NPI
1902060197
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Former Name
SHANNON GRACE BIRD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2008-07-16
Last Update Date
2011-09-06
Business Address
GRACE BIRD ELLISON G.P.T.
1519 132ND ST SE SUITE A
EVERETT, WA 98208-7203
Phone number: 425-337-9556
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Mailing Address
GRACE BIRD ELLISON G.P.T.
1519 132ND ST SE SUITE A
EVERETT, WA 98208-7203
Phone number: 425-337-9556
Copy
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