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1487873378
BRANDY L BLAKE
PUYALLUP, WA
NPI
1487873378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00018865)
Enumeration Date
2007-04-25
Last Update Date
2011-12-29
Business Address
-- BRANDY L BLAKE LMP
8411 110TH STREET CT E
PUYALLUP, WA 98373-6002
Phone number: 206-940-7226
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Mailing Address
-- BRANDY L BLAKE LMP
8411 110TH STREET CT E
PUYALLUP, WA 98373-6002
Phone number: 206-940-7226
Copy
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