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1124238167
GIOVANNI COSTALES
EVERETT, WA
NPI
1124238167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00018033)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- GIOVANNI COSTALES LMP
919 128TH ST SW
EVERETT, WA 98204-6315
Phone number: 425-347-8614
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Mailing Address
-- GIOVANNI COSTALES LMP
919 128TH ST SW
EVERETT, WA 98204-6315
Phone number: 425-347-8614
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