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1558002816
RUSSELL KENJI TAMASHIRO
SANTA ROSA, CA
NPI
1558002816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CA 83366)
Enumeration Date
2022-04-02
Last Update Date
2022-08-31
Business Address
RUSSELL KENJI TAMASHIRO
3861 MONTGOMERY DR
SANTA ROSA, CA 95405-5244
Phone number: 707-666-5863
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Mailing Address
RUSSELL KENJI TAMASHIRO
3861 MONTGOMERY DR
SANTA ROSA, CA 95405-5244
Phone number: 707-666-5863
Copy
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