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1134427826
MADISON D DETTMER
EVERETT, WA
NPI
1134427826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA ma60203144)
Enumeration Date
2011-03-04
Last Update Date
2011-03-04
Business Address
-- MADISON D DETTMER LMP
4322 RUCKER AVE
EVERETT, WA 98203-2233
Phone number: 425-258-5454
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Mailing Address
-- MADISON D DETTMER LMP
4322 RUCKER AVE
EVERETT, WA 98203-2233
Phone number: 425-258-5454
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