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1366088643
BRYAN DWIGHT DANIELS
TACOMA, WA
NPI
1366088643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
Enumeration Date
2019-11-21
Last Update Date
2019-11-21
Business Address
BRYAN DWIGHT DANIELS
2924 N 14TH ST
TACOMA, WA 98406-6906
Phone number: 253-365-5033
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Mailing Address
BRYAN DWIGHT DANIELS
2924 N 14TH ST
TACOMA, WA 98406-6906
Phone number: 253-365-5033
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