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1992015325
SHELLY ANN PRIDEAUX
TACOMA, WA
NPI
1992015325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: WA 60179149)
Enumeration Date
2010-10-19
Last Update Date
2011-05-25
Business Address
-- SHELLY ANN PRIDEAUX LMP
1024 72ND ST E
TACOMA, WA 98404-1732
Phone number: 253-778-3459
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Mailing Address
-- SHELLY ANN PRIDEAUX LMP
1024 72ND ST E
TACOMA, WA 98404-1732
Phone number:
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