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1134495005
ANTOINETTE FAUSTINO
VANCOUVER, WA
NPI
1134495005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA 60077356)
Enumeration Date
2012-03-26
Last Update Date
2012-03-26
Business Address
ANTOINETTE FAUSTINO
1610 C ST STE 103
VANCOUVER, WA 98663-3400
Phone number: 360-694-0300
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Mailing Address
ANTOINETTE FAUSTINO
16530 NW JOSCELYN ST
BEAVERTON, OR 97006-5258
Phone number: 503-807-8713
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