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Individual
VERN J ESSENBERG JR.
Active
Individual
VERN J ESSENBERG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005640
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44698
LABOR & INDUSTRIES
WA
01
—
7701ES
REGENCE BLUESHIELD
WA
05
—
8346850
—
WA
01
—
8930575
L&I CRIME VICTIMS PRGM
WA
Enumeration date
05/25/2006
Last updated
07/08/2007
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