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1104217033
STEPHEN FULLER
DES MOINES, WA
NPI
1104217033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60015141)
Enumeration Date
2015-02-13
Last Update Date
2015-02-13
Business Address
-- STEPHEN FULLER LMP
22021 7TH AVE S SUITE 3
DES MOINES, WA 98198-6218
Phone number: 206-429-2782
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Mailing Address
-- STEPHEN FULLER LMP
22021 7TH AVE S SUITE 3
DES MOINES, WA 98198-6218
Phone number: 206-429-2782
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