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1124366596
BRIAN B BACUNGAN
SEATTLE, WA
NPI
1124366596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA 60320042)
Enumeration Date
2013-01-19
Last Update Date
2016-08-31
Business Address
BRIAN B BACUNGAN LMP
2208 NW MARKET ST 430B
SEATTLE, WA 98107-4030
Phone number: 808-232-8098
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Mailing Address
BRIAN B BACUNGAN LMP
15433 COUNTRY CLUB DR A103
MILL CREEK, WA 98012-1260
Phone number: 808-232-8098
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