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1215361605
AMANDA CHANTEL ULLOM
BOTHELL, WA
NPI
1215361605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA 00024803)
Enumeration Date
2013-08-21
Last Update Date
2013-08-21
Business Address
-- AMANDA CHANTEL ULLOM
11801 NE 160TH ST SUITE D
BOTHELL, WA 98011-4106
Phone number: 206-850-6692
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Mailing Address
-- AMANDA CHANTEL ULLOM
PO BOX 2837
WOODINVILLE, WA 98072-2837
Phone number: 206-850-6692
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