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1124493440
LINDA PHIMMAVONG
LAKEWOOD, WA
NPI
1124493440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60590721)
Enumeration Date
2015-12-11
Last Update Date
2015-12-11
Business Address
-- LINDA PHIMMAVONG LMP
7308 BRIDGEPORT WAY W STE. 103
LAKEWOOD, WA 98499-8000
Phone number: 253-582-8142
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Mailing Address
-- LINDA PHIMMAVONG LMP
4040 ORCHARD ST W STE. 100
FIRCREST, WA 98466-6606
Phone number: 253-564-1560
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