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1013044197
JOHN DANIEL WAGNER
TACOMA, WA
NPI
1013044197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA16406)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
-- JOHN DANIEL WAGNER LMP
2315 N PEARL ST STE 10 PMB 188
TACOMA, WA 98406-2553
Phone number: 253-905-0533
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Mailing Address
-- JOHN DANIEL WAGNER LMP
2315 N PEARL ST STE 10 PMB 188
TACOMA, WA 98406-2553
Phone number: 253-905-0533
Copy
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