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1154563310
DONOVAN SHANE LAVERGNE
SEATTLE, WA
NPI
1154563310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60041587)
Enumeration Date
2009-04-01
Last Update Date
2009-04-01
Business Address
Mr. DONOVAN SHANE LAVERGNE LMP
10021 HOLMAN RD NW
SEATTLE, WA 98177-4920
Phone number: 206-632-8300
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Mailing Address
Mr. DONOVAN SHANE LAVERGNE LMP
10021 HOLMAN RD NW
SEATTLE, WA 98177-4920
Phone number: 206-632-8300
Copy
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