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Individual

MR. DWAYNE GRANT BALDWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.A.

Contact information

Practice address
7521 11TH AVE SW, SEATTLE, WA 98106-2023
(206) 933-1084
Mailing address
7521 11TH AVE SW, SEATTLE, WA 98106-2023
(206) 933-1084

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
06/05/2008
Last updated
06/05/2008
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