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1174038368
TRAVIS EDWARD JACKSON
BURIEN, WA
NPI
1174038368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60689794)
Enumeration Date
2017-12-10
Last Update Date
2017-12-10
Business Address
TRAVIS EDWARD JACKSON LMT
427 SW 152ND ST UNIT C
BURIEN, WA 98166-2208
Phone number: 206-787-0502
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Mailing Address
TRAVIS EDWARD JACKSON LMT
21609 6TH AVE S
NORMANDY PARK, WA 98198-6114
Phone number: 206-878-0502
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