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1508368127
THOMAS ROBERT DIVIS
REDMOND, WA
NPI
1508368127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60706487)
Enumeration Date
2018-02-28
Last Update Date
2018-02-28
Business Address
THOMAS ROBERT DIVIS LMT
15436 BEL RED RD
REDMOND, WA 98052-5536
Phone number: 206-267-0814
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Mailing Address
THOMAS ROBERT DIVIS LMT
16255 NE 27TH ST
BELLEVUE, WA 98008-2209
Phone number: 509-322-1737
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