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1184902116
LIDIYA KOZLOVA
TACOMA, WA
NPI
1184902116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60228696)
Enumeration Date
2011-07-25
Last Update Date
2011-07-25
Business Address
Miss LIDIYA KOZLOVA LMP
5006 CENTER ST DR STE N AIM PHYSICAL THERAPY
TACOMA, WA 98327
Phone number: 253-964-1559
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Mailing Address
Miss LIDIYA KOZLOVA LMP
5517 BRIDGEPORT WAY W # D7
UNIVERSITY PLACE, WA 98467-2004
Phone number:
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