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1124348461
KATHLEEN ELLEN PORELL
RENTON, WA
NPI
1124348461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA ma00012459)
Enumeration Date
2010-06-09
Last Update Date
2010-06-09
Business Address
-- KATHLEEN ELLEN PORELL LMP
13422 191ST AVE SE
RENTON, WA 98059-7241
Phone number: 425-235-9766
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Mailing Address
-- KATHLEEN ELLEN PORELL LMP
13422 191ST AVE SE
RENTON, WA 98059-7241
Phone number: 425-235-9766
Copy
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