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Individual

MRS. ANGELA DAWN BEAUPAIN

Active
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Individual

MRS. ANGELA DAWN BEAUPAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008050
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0171222
LABOR AND INDUSTRY
WA
01
5359ME
REGENCE BS
WA
05
8335796
WA
01
A011
TRICARE
01
P00011498
RR MEDICARE
Enumeration date
01/24/2006
Last updated
03/09/2023
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