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1104947332
THERON TROY EIRISH
BELLINGHAM, WA
NPI
1104947332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00020422)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
Mr. THERON TROY EIRISH LMP
1314 HARRIS AVE
BELLINGHAM, WA 98225-7116
Phone number: 360-303-8992
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Mailing Address
Mr. THERON TROY EIRISH LMP
2100 ELECTRIC AVE APT #113
BELLINGHAM, WA 98229
Phone number: 360-303-8992
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