DOUGLAS LEE BLACK

VANCOUVER, WA
NPI1295855138
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA00011374)
Enumeration Date2007-03-31
Last Update Date2022-07-21
Business Address
-- DOUGLAS LEE BLACK LMP
16906 SE 1ST ST STE 103
VANCOUVER, WA 98684-8512
Phone number: 360-903-9963
Mailing Address
-- DOUGLAS LEE BLACK LMP
6700 NE 162ND AVE STE 611
VANCOUVER, WA 98682-3899
Phone number: 360-903-9963
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