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1104032390
CAROL B TIEBOUT
SEATTLE, WA
NPI
1104032390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA 12878)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
-- CAROL B TIEBOUT LMP
4508 S WILLOW ST
SEATTLE, WA 98118-3641
Phone number: 206-322-2926
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Mailing Address
-- CAROL B TIEBOUT LMP
4508 S WILLOW ST
SEATTLE, WA 98118-3641
Phone number: 206-322-2926
Copy
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