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1144558214
DWAINE JEFFREY BREED
MONROE, WA
NPI
1144558214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60116962)
Enumeration Date
2009-11-30
Last Update Date
2009-11-30
Business Address
-- DWAINE JEFFREY BREED LMP
101 E MAIN ST #201
MONROE, WA 98272-1519
Phone number: 360-863-0642
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Mailing Address
-- DWAINE JEFFREY BREED LMP
15515 JUANITA WOODINVILLE WAY NE E-304
BOTHELL, WA 98011-1576
Phone number: 425-328-9413
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