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1386208999
JESSICA NICOLE KONGSLIE
PUYALLUP, WA
NPI
1386208999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00023679)
Enumeration Date
2019-04-29
Last Update Date
2019-04-29
Business Address
JESSICA NICOLE KONGSLIE LMT
2015 BROOKMONTE DR SE
PUYALLUP, WA 98372-5173
Phone number: 253-682-7782
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Mailing Address
JESSICA NICOLE KONGSLIE LMT
2015 BROOKMONTE DR SE
PUYALLUP, WA 98372-5173
Phone number: 253-678-9393
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