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1467754986
JEREMIAH LYLES JOHNSON
MARYSVILLE, WA
NPI
1467754986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60177126)
Enumeration Date
2010-12-03
Last Update Date
2010-12-03
Business Address
Mr. JEREMIAH LYLES JOHNSON LMP
7514 46TH PL NE
MARYSVILLE, WA 98270-8913
Phone number: 253-677-2799
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Mailing Address
Mr. JEREMIAH LYLES JOHNSON LMP
7514 46TH PL NE
MARYSVILLE, WA 98270-8913
Phone number: 253-677-2799
Copy
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