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Individual
MICHAEL B MAGNO
Active
Individual
MICHAEL B MAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005011
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183734
LABOR & INDUSTRIES
WA
05
—
8385833
—
WA
Enumeration date
05/09/2007
Last updated
07/08/2007
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