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1053703678
MASSAGE BY JENNI
VANCOUVER, WA
NPI
1053703678
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Entity Type
Organization
Authorized Contact
JENNIFER SOSKY
Lmp
360-904-0419
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
(Licence: WA Ma 60334878)
Enumeration Date
2015-02-19
Last Update Date
2015-02-19
Business Address
MASSAGE BY JENNI
9013 NE HIGHWAY 99
VANCOUVER, WA 98665-8942
Phone number: 360-904-0419
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Mailing Address
MASSAGE BY JENNI
13015 NE 406TH ST
AMBOY, WA 98601-3513
Phone number: 360-904-0419
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