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1528841657
BRIAN VAN OVER
VANCOUVER, WA
NPI
1528841657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA61468746)
Enumeration Date
2023-08-14
Last Update Date
2023-08-14
Business Address
BRIAN VAN OVER
16315 NE 23RD ST
VANCOUVER, WA 98684-8665
Phone number: 360-882-0767
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Mailing Address
BRIAN VAN OVER
13119 NE 89TH ST
VANCOUVER, WA 98682
Phone number:
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