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1952658700
MICHAEL L DOMINGO
KENT, WA
NPI
1952658700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60289375)
Enumeration Date
2012-08-11
Last Update Date
2012-08-11
Business Address
-- MICHAEL L DOMINGO PT
25012 104TH AVE SE SUITE C
KENT, WA 98030-2821
Phone number: 253-856-3477
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Mailing Address
-- MICHAEL L DOMINGO PT
PO BOX 2170
SUMNER, WA 98390-0480
Phone number: 253-840-2313
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