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1912349051
DMITRY NATIVIDAD MACHUTES
TACOMA, WA
NPI
1912349051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60114564)
Enumeration Date
2013-07-17
Last Update Date
2023-09-28
Business Address
DMITRY NATIVIDAD MACHUTES PT
1313 BROADWAY STE 200
TACOMA, WA 98402-3400
Phone number: 253-301-6400
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Mailing Address
DMITRY NATIVIDAD MACHUTES PT
9422 COUNTRY HOLLOW DR E
PUYALLUP, WA 98375-9668
Phone number: 509-699-0803
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