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1013555846
JIM LOCKLEAR
BURIEN, WA
NPI
1013555846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA ma00015110)
Enumeration Date
2019-12-11
Last Update Date
2019-12-11
Business Address
JIM LOCKLEAR massage therapist
612 SW 152ND ST
BURIEN, WA 98166-2213
Phone number: 206-244-1466
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Mailing Address
JIM LOCKLEAR massage therapist
15607 18TH AVE SW
BURIEN, WA 98166-2701
Phone number: 206-354-8560
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