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1922308063
MALIA WINONA DETTORI
SEATTLE, WA
NPI
1922308063
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Former Name
MALIA WINONA ANDERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60186839)
Enumeration Date
2010-10-22
Last Update Date
2016-12-15
Business Address
-- MALIA WINONA DETTORI DPT
2560 32ND AVE W
SEATTLE, WA 98199-3220
Phone number: 206-660-1218
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Mailing Address
-- MALIA WINONA DETTORI DPT
PO BOX 99483 SUITE 104
SEATTLE, WA 98139-0483
Phone number: 206-660-1218
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