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JODY PROVINE, PTA

PTA

Skilled Nursing Facility

NPI: 1841669272Individual

Specialties, Licenses & Credentials

Skilled Nursing Facility

Code: 314000000X

Contact & Hours

Address
219 CEDAR AVE S
NORTH BEND, WA 98045

Quick Facts

NPI
1841669272
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1

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