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1730160318
AUTUMN N LUNDGREN
PUYALLUP, WA
NPI
1730160318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00021245)
Enumeration Date
2005-11-09
Last Update Date
2007-07-08
Business Address
-- AUTUMN N LUNDGREN LMP
3912 10TH ST SE #101
PUYALLUP, WA 98374-2188
Phone number: 253-848-4700
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Mailing Address
-- AUTUMN N LUNDGREN LMP
PO BOX 731269
PUYALLUP, WA 98373-0060
Phone number: 253-840-2313
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