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1487790754
JASON C KETCHAM
KIRKLAND, WA
NPI
1487790754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00022154)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
-- JASON C KETCHAM LMP
11821 NE 128TH ST SUITE C
KIRKLAND, WA 98034-7210
Phone number: 425-285-1250
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Mailing Address
-- JASON C KETCHAM LMP
PO BOX 731269
PUYALLUP, WA 98373-0060
Phone number: 253-840-2313
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