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1619738804
JEBEDIAH I SIDES
VANCOUVER, WA
NPI
1619738804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA 61512969)
Enumeration Date
2024-01-16
Last Update Date
2024-12-18
Business Address
JEBEDIAH I SIDES LMT
14010 NE 3RD CT BLDG B
VANCOUVER, WA 98685-2928
Phone number: 360-949-0133
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Mailing Address
JEBEDIAH I SIDES LMT
4414 NE 115TH ST
VANCOUVER, WA 98686-4479
Phone number: 360-949-0133
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