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Individual

CHRISTIAN G DATOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
702 N 16TH AVE, YAKIMA, WA 98902-1803
(509) 853-2510
(509) 577-7193
Mailing address
702 N 16TH AVE, YAKIMA, WA 98902-1803
(509) 853-2510
(509) 577-7193

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00010352
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
236506
LABOR AND INDUSTRIES
WA
Enumeration date
07/10/2008
Last updated
07/10/2008
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