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1023398518
JOSHUA WAYNE GROOMS
WASHOUGAL, WA
NPI
1023398518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA 60233879)
Enumeration Date
2011-08-28
Last Update Date
2011-08-28
Business Address
Mr. JOSHUA WAYNE GROOMS LMP
528 20TH ST
WASHOUGAL, WA 98671-1526
Phone number: 360-281-6052
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Mailing Address
Mr. JOSHUA WAYNE GROOMS LMP
528 20TH ST
WASHOUGAL, WA 98671-1526
Phone number: 360-281-6052
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