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Individual
MARILYN KLEYN
Active
Individual
MARILYN KLEYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT00001022
WA
225100000X
Physical Therapist
Primary
PT00001022
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053521
LABOR AND INDUSTRIES
WA
05
—
8340291
—
WA
01
—
KL3228
BLUE SHIELD
WA
Enumeration date
03/05/2007
Last updated
02/27/2017
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