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1538235130
MICHAEL GREGORY BOTHUM
SPOKANE, WA
NPI
1538235130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00010200)
Enumeration Date
2006-11-27
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL GREGORY BOTHUM Massage Therapist LM
2911 W NORTHWEST BLVD
SPOKANE, WA 99205-2378
Phone number: 509-326-6669
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Mailing Address
Mr. MICHAEL GREGORY BOTHUM Massage Therapist LM
2911 W NORTHWEST BLVD
SPOKANE, WA 99205-2378
Phone number: 509-326-6669
Copy
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