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1699054577
DANIEL ILWOO PARK
MILL CREEK, WA
NPI
1699054577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60240620)
Enumeration Date
2011-08-10
Last Update Date
2011-08-10
Business Address
DANIEL ILWOO PARK LMP
15433 COUNTRY CLUB DR UNIT A206
MILL CREEK, WA 98012-1260
Phone number: 425-890-5857
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Mailing Address
DANIEL ILWOO PARK LMP
PO BOX 13524
MILL CREEK, WA 98082-1524
Phone number: 425-890-5857
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