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1003054651
CARISSA ANN JACOBSEN
SEATTLE, WA
NPI
1003054651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA 60040731)
Enumeration Date
2009-02-04
Last Update Date
2009-02-04
Business Address
CARISSA ANN JACOBSEN LMP
460 NE 70TH STREET
SEATTLE, WA 98115
Phone number: 206-522-4000
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Mailing Address
CARISSA ANN JACOBSEN LMP
P.O. BOX 262
N. LAKEWOOD, WA 98259
Phone number: 425-422-9956
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