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1265983555
EDWIN BAXTER
VANCOUVER, WA
NPI
1265983555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA 60690259)
Enumeration Date
2016-10-21
Last Update Date
2016-10-21
Business Address
-- EDWIN BAXTER LMP
14313 NE 20TH AVE A112
VANCOUVER, WA 98686-1487
Phone number: 360-574-9440
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Mailing Address
-- EDWIN BAXTER LMP
3508 N ST
VANCOUVER, WA 98663-2440
Phone number: 360-852-7424
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