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1194342790
KRISTIN FAITH BASANTA
CAMAS, WA
NPI
1194342790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60758957)
Enumeration Date
2020-06-29
Last Update Date
2020-06-29
Business Address
KRISTIN FAITH BASANTA LMT
534 NE EVERETT ST
CAMAS, WA 98607-2025
Phone number: 734-649-6949
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Mailing Address
KRISTIN FAITH BASANTA LMT
766 W W ST
WASHOUGAL, WA 98671-8645
Phone number: 734-649-6949
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