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1356521405
MIKKI R BOSMAN
OLYMPIA, WA
NPI
1356521405
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Former Name
MIKKI R NELSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00022215)
Enumeration Date
2007-11-06
Last Update Date
2011-03-22
Business Address
Mrs. MIKKI R BOSMAN LMP
5515 93RD AVE SE
OLYMPIA, WA 98513
Phone number: 253-720-3210
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Mailing Address
Mrs. MIKKI R BOSMAN LMP
PO BOX 237
EAST OLYMPIA, WA 98540-0237
Phone number: 253-720-3210
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