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1467756759
JORDEN DANIEL WIENCKOSKI
KENNEWICK, WA
NPI
1467756759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA 60137771)
Enumeration Date
2010-12-31
Last Update Date
2021-07-30
Business Address
Mr. JORDEN DANIEL WIENCKOSKI LMP
7514 W YELLOWSTONE AVE
KENNEWICK, WA 99336-1101
Phone number: 509-783-7242
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Mailing Address
Mr. JORDEN DANIEL WIENCKOSKI LMP
900 S DATE ST
KENNEWICK, WA 99336-5755
Phone number: 509-222-0925
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