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1013739929
EMILY DIANNE BOUGHAL
PUYALLUP, WA
NPI
1013739929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA 61508749)
Enumeration Date
2024-10-30
Last Update Date
2024-10-30
Business Address
EMILY DIANNE BOUGHAL LMT
3712 9TH ST SW STE A1
PUYALLUP, WA 98373-3564
Phone number: 253-880-7004
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Mailing Address
EMILY DIANNE BOUGHAL LMT
2358 S HOSMER ST
TACOMA, WA 98405-3149
Phone number: 253-468-4124
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