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1043090079
SHELLY R RUSSELL
MARYSVILLE, WA
NPI
1043090079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA61484804)
Enumeration Date
2023-10-05
Last Update Date
2023-10-05
Business Address
SHELLY R RUSSELL
9528 STATE AVE STE B
MARYSVILLE, WA 98270-2279
Phone number: 360-659-6554
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Mailing Address
SHELLY R RUSSELL
14617 99TH AVE NE
ARLINGTON, WA 98223-6288
Phone number: 425-870-8208
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