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1275886020
RICHARD DAVIS
LONGVIEW, WA
NPI
1275886020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA 60284327)
Enumeration Date
2012-10-17
Last Update Date
2012-10-17
Business Address
-- RICHARD DAVIS LMP
831 12TH AVE
LONGVIEW, WA 98632-2403
Phone number: 360-636-2470
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Mailing Address
-- RICHARD DAVIS LMP
18300 JOHNSON RD
CLATSKANIE, OR 97016-2611
Phone number: 503-728-9604
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