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1609069087
KIM J. CLARK
LONGVIEW, WA
NPI
1609069087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00018876)
Enumeration Date
2007-08-20
Last Update Date
2007-08-20
Business Address
Mrs. KIM J. CLARK LMP
1424 16TH AVE
LONGVIEW, WA 98632-2901
Phone number: 360-425-6620
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Mailing Address
Mrs. KIM J. CLARK LMP
1424 16TH AVE
LONGVIEW, WA 98632-2901
Phone number: 360-425-6620
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