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1194749119
LISA J MCCANN
KENT, WA
NPI
1194749119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00022741)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
-- LISA J MCCANN LMP
25012 104TH AVE SE SUITE C
KENT, WA 98030-2821
Phone number: 253-856-3477
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Mailing Address
-- LISA J MCCANN LMP
PO BOX 731269
PUYALLUP, WA 98373-0060
Phone number: 253-840-2313
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