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1750640595
JAY LEWIS WENCE
TACOMA, WA
NPI
1750640595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60287992)
Enumeration Date
2012-05-14
Last Update Date
2012-05-14
Business Address
Mr. JAY LEWIS WENCE LMP
4517 N 37TH ST
TACOMA, WA 98407-4820
Phone number: 206-501-6256
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Mailing Address
Mr. JAY LEWIS WENCE LMP
4517 N 37TH ST
TACOMA, WA 98407-4820
Phone number: 206-501-6256
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