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1639582463
KERRY THACKER
OLYMPIA, WA
NPI
1639582463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: WA MA60404003)
Enumeration Date
2014-06-10
Last Update Date
2014-06-10
Business Address
-- KERRY THACKER LMP
120 STATE AVE NE #175
OLYMPIA, WA 98501-1131
Phone number: 360-951-6937
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Mailing Address
-- KERRY THACKER LMP
120 STATE AVE NE #175
OLYMPIA, WA 98501-1131
Phone number: 360-951-6937
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