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1386310167
DERRIK WHITE
VANCOUVER, WA
NPI
1386310167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA61156998)
Enumeration Date
2021-08-20
Last Update Date
2021-08-20
Business Address
DERRIK WHITE
3407 NE 103RD AVE
VANCOUVER, WA 98662-7583
Phone number: 360-553-6396
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Mailing Address
DERRIK WHITE
3407 NE 103RD AVE
VANCOUVER, WA 98662-7583
Phone number: 360-553-6396
Copy
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