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1053197160
JUAN FIDEL SANTIAGO HENARES
VANCOUVER, WA
NPI
1053197160
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Other Name
JOHN FIDEL SANTIAGO HENARES
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA61480559)
Enumeration Date
2023-09-05
Last Update Date
2023-09-05
Business Address
JUAN FIDEL SANTIAGO HENARES LMT
2402 BROADWAY ST
VANCOUVER, WA 98663-3229
Phone number: 360-246-6630
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Mailing Address
JUAN FIDEL SANTIAGO HENARES LMT
2402 BROADWAY ST
VANCOUVER, WA 98663-3229
Phone number: 360-605-2221
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