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1245558469
GINA DIEM
LONGVIEW, WA
NPI
1245558469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00018700)
Enumeration Date
2010-05-12
Last Update Date
2010-05-12
Business Address
Ms. GINA DIEM LMP
1560 3RD AVE
LONGVIEW, WA 98632-3229
Phone number: 360-423-9535
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Mailing Address
Ms. GINA DIEM LMP
1560 3RD AVE
LONGVIEW, WA 98632-3229
Phone number: 360-423-9535
Copy
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