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1407163157
JUSTIN JOHN REGNER
MONROE, WA
NPI
1407163157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA 60156467)
Enumeration Date
2010-09-01
Last Update Date
2010-09-01
Business Address
-- JUSTIN JOHN REGNER LMP
101 E MAIN ST STE 201
MONROE, WA 98272-1519
Phone number: 360-863-0642
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Mailing Address
-- JUSTIN JOHN REGNER LMP
11738 5TH AVE NE
SEATTLE, WA 98125-4902
Phone number: 206-605-9019
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