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1376746495
MARISA DIANE PENDERGRASS
SPOKANE, WA
NPI
1376746495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00022848)
Enumeration Date
2007-06-06
Last Update Date
2014-10-10
Business Address
-- MARISA DIANE PENDERGRASS LMP
1303 S GRAND BLVD
SPOKANE, WA 99202-1136
Phone number: 509-838-2225
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Mailing Address
-- MARISA DIANE PENDERGRASS LMP
1303 S GRAND BLVD
SPOKANE, WA 99202-1136
Phone number: 509-838-2225
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