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1235672882
TERRA MARIE FORKNER
MOUNT VERNON, WA
NPI
1235672882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60644252)
Enumeration Date
2016-11-30
Last Update Date
2017-02-22
Business Address
Mrs. TERRA MARIE FORKNER LMP
1202 S. 2ND STREET SUITE E
MOUNT VERNON, WA 98273
Phone number: 360-610-1089
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Mailing Address
Mrs. TERRA MARIE FORKNER LMP
17360 RED HAWK CT
MOUNT VERNON, WA 98274-7797
Phone number: 360-610-1089
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