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1134894652
NORTHWEST SPORTS PERFORMANCE
PUYALLUP, WA
NPI
1134894652
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Entity Type
Organization
Authorized Contact
KEVIN VANDENBOSCH
Lmt
206-383-3186
Organization Subpart ?
No
Primary Taxonomy
225700000X Massage Therapist
Enumeration Date
2021-08-16
Last Update Date
2021-08-16
Business Address
NORTHWEST SPORTS PERFORMANCE
15916 93RD AVE E
PUYALLUP, WA 98375-6718
Phone number: 206-383-3186
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Mailing Address
NORTHWEST SPORTS PERFORMANCE
15916 93RD AVE E
PUYALLUP, WA 98375-6718
Phone number: 206-383-3186
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