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1447620026
ELIJAH REUBEN ROQUE
LYNNWOOD, WA
NPI
1447620026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA6059228)
Enumeration Date
2015-09-25
Last Update Date
2015-09-25
Business Address
-- ELIJAH REUBEN ROQUE LMP
19220 74TH AVE W
LYNNWOOD, WA 98036-5063
Phone number: 425-314-9901
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Mailing Address
-- ELIJAH REUBEN ROQUE LMP
19220 74TH AVE W
LYNNWOOD, WA 98036-5063
Phone number: 425-314-9901
Copy
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