JACK ARCHER BLACKBURN

SEATTLE, WA
NPI1437273570
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  242-01-0003420)
Enumeration Date2007-03-16
Last Update Date2007-07-08
Business Address
MR. JACK ARCHER BLACKBURN LMP
5762 27TH AVE NE
SEATTLE, WA 98105-5512
Phone number: 206-527-0908
Mailing Address
MR. JACK ARCHER BLACKBURN LMP
5762 27TH AVE NE
SEATTLE, WA 98105-5512
Phone number: 206-527-0908
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