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1043550866
LEONID M POTRYASOV
VANCOUVER, WA
NPI
1043550866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA 602329198)
Enumeration Date
2013-02-15
Last Update Date
2013-02-15
Business Address
Mr. LEONID M POTRYASOV MA60290799
11300 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98662-5767
Phone number: 360-931-8054
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Mailing Address
Mr. LEONID M POTRYASOV MA60290799
11300 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98662-5767
Phone number: 360-931-8054
Copy
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