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1700896800
SHANE ALLEN BUSH
SEATTLE, WA
NPI
1700896800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00011395)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
-- SHANE ALLEN BUSH L.M.P.
180 NICKERSON ST STE 103
SEATTLE, WA 98109-1631
Phone number: 206-852-7332
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Mailing Address
-- SHANE ALLEN BUSH L.M.P.
180 NICKERSON ST STE 103
SEATTLE, WA 98109-1631
Phone number: 206-852-7332
Copy
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