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1306145644
BRIAN EDGE
LYNNWOOD, WA
NPI
1306145644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60211133)
Enumeration Date
2011-03-25
Last Update Date
2011-03-25
Business Address
-- BRIAN EDGE LMP
4525 164TH ST SW # BB103
LYNNWOOD, WA 98087-8609
Phone number: 360-632-3710
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Mailing Address
-- BRIAN EDGE LMP
PO BOX 14423
MILL CREEK, WA 98082-2423
Phone number: 360-632-3710
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