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1568589109
MICHAEL LAWRENCE SIMON
BOTHELL, WA
NPI
1568589109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00007083)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
-- MICHAEL LAWRENCE SIMON LMP
19523 100TH AVE NE
BOTHELL, WA 98011-2317
Phone number: 425-483-4123
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Mailing Address
-- MICHAEL LAWRENCE SIMON LMP
PO BOX 135
BOTHELL, WA 98041-0135
Phone number: 425-483-4123
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