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1447753702
COREY GLEN DAVIDSON
VANCOUVER, WA
NPI
1447753702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA 60656485)
Enumeration Date
2018-03-13
Last Update Date
2018-03-13
Business Address
COREY GLEN DAVIDSON
100 E 13TH ST STE 111
VANCOUVER, WA 98660-3329
Phone number: 360-521-6090
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Mailing Address
COREY GLEN DAVIDSON
11018 NE 98TH ST
VANCOUVER, WA 98662-2274
Phone number: 360-213-9405
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