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1558874032
KIMBERLY PETERS-POONKASEM
TACOMA, WA
NPI
1558874032
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Former Name
KIMBERLY BRAGA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60036366)
Enumeration Date
2017-11-07
Last Update Date
2017-11-07
Business Address
KIMBERLY PETERS-POONKASEM LMP
1114 COURT E
TACOMA, WA 98402-2002
Phone number: 253-241-0118
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Mailing Address
KIMBERLY PETERS-POONKASEM LMP
2522 N PROCTOR ST # 507
TACOMA, WA 98406-5338
Phone number: 253-241-0118
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