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1992845192
JACK URIAH TEAGUE
BOTHELL, WA
NPI
1992845192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00000652)
Enumeration Date
2007-02-07
Last Update Date
2008-04-11
Business Address
JACK URIAH TEAGUE P.T.
18107 BOTHELL WAY NE SUITE 106
BOTHELL, WA 98011-1900
Phone number: 425-487-3142
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Mailing Address
JACK URIAH TEAGUE P.T.
9209 126TH AVE NE
KIRKLAND, WA 98033-5901
Phone number: 425-827-4758
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