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1447692207
MONTE D. LARSON
SHELTON, WA
NPI
1447692207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60337101)
Enumeration Date
2013-07-22
Last Update Date
2013-07-22
Business Address
Mr. MONTE D. LARSON LMP
670 SE CRESCENT DR
SHELTON, WA 98584-9228
Phone number: 360-427-8508
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Mailing Address
Mr. MONTE D. LARSON LMP
670 SE CRESCENT DR
SHELTON, WA 98584-9228
Phone number: 360-427-8508
Copy
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