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1215054432
TARA LYN VANWAGNER
WENATCHEE, WA
NPI
1215054432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00020242)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
-- TARA LYN VANWAGNER L.M.P
1601 N WENATCHEE AVE
WENATCHEE, WA 98801-1158
Phone number: 509-667-2027
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Mailing Address
-- TARA LYN VANWAGNER L.M.P
1816 5TH ST
WENATCHEE, WA 98801-1336
Phone number: 509-860-3741
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