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1477098143
DIANE BROADDUS
BELLINGHAM, WA
NPI
1477098143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: KY 107950)
Enumeration Date
2017-01-04
Last Update Date
2017-01-04
Business Address
-- DIANE BROADDUS LMT
55 GREEN HILL RD
BELLINGHAM, WA 98229-7718
Phone number: 859-339-9838
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Mailing Address
-- DIANE BROADDUS LMT
55 GREEN HILL RD
BELLINGHAM, WA 98229-7718
Phone number: 859-339-9838
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