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1396869855
CHARLES WAYNE WINCHELL
TACOMA, WA
NPI
1396869855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA 024201)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
MR. CHARLES WAYNE WINCHELL L.M.T.
722 MARTIN LUTHER KING AVE.
TACOMA, WA 98403
Phone number: 253-548-4015
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Mailing Address
MR. CHARLES WAYNE WINCHELL L.M.T.
PO BOX 150
YELM, WA 98597-0150
Phone number: 360-894-5686
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