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1700934072
KIM M. CLARK
PUYALLUP, WA
NPI
1700934072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00020639)
Enumeration Date
2007-01-05
Last Update Date
2007-07-08
Business Address
-- KIM M. CLARK
9508 CANYON RD E
PUYALLUP, WA 98371-6302
Phone number: 253-221-3511
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Mailing Address
-- KIM M. CLARK
9508 CANYON RD E
PUYALLUP, WA 98371-6302
Phone number: 253-221-3511
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