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1053701003
CALVIN JACKSON
MONROE, WA
NPI
1053701003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA ma60431582)
Enumeration Date
2015-01-29
Last Update Date
2015-01-29
Business Address
-- CALVIN JACKSON
101 E MAIN ST STE 201
MONROE, WA 98272-1519
Phone number: 360-863-0642
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Mailing Address
-- CALVIN JACKSON
PO BOX 14072
MILL CREEK, WA 98082-2072
Phone number:
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