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1992077093
LISA JEAN WILLTS
VANCOUVER, WA
NPI
1992077093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA 9141)
Enumeration Date
2012-02-03
Last Update Date
2012-02-03
Business Address
-- LISA JEAN WILLTS P.T.
316 SHREVEPORT WAY
VANCOUVER, WA 98664-1548
Phone number: 360-750-6663
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Mailing Address
-- LISA JEAN WILLTS P.T.
316 SHREVEPORT WAY
VANCOUVER, WA 98664-1548
Phone number: 360-750-6663
Copy
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