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1053715771
BRIAN JAMES WISE
BELLEVUE, WA
NPI
1053715771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60503846)
Enumeration Date
2014-10-09
Last Update Date
2014-10-09
Business Address
Mr. BRIAN JAMES WISE LMP
1611 116TH AVE NE 200
BELLEVUE, WA 98004-3045
Phone number: 425-455-0088
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Mailing Address
Mr. BRIAN JAMES WISE LMP
1855 TROSSACHS BLVD SE 2704
SAMMAMISH, WA 98075-5946
Phone number: 425-241-2638
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