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1720330293
JACOB GLENN ROSE
KENNEWICK, WA
NPI
1720330293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA 00012661)
Enumeration Date
2012-10-09
Last Update Date
2012-10-09
Business Address
-- JACOB GLENN ROSE LMP
633 S. YOUNG STREET
KENNEWICK, WA 99336
Phone number: 509-438-2029
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Mailing Address
-- JACOB GLENN ROSE LMP
633 S. YOUNG STREET
KENNEWICK, WA 99336
Phone number: 509-438-2029
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