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1386020733
JACOB HENRIKSEN
SPOKANE, WA
NPI
1386020733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA 60512822)
Enumeration Date
2015-08-08
Last Update Date
2015-09-21
Business Address
-- JACOB HENRIKSEN
1303 S GRAND BLVD
SPOKANE, WA 99202-1136
Phone number: 509-838-2225
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Mailing Address
-- JACOB HENRIKSEN
1326 S MYRTLE ST
SPOKANE, WA 99202-5442
Phone number: 509-420-6670
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