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1750671012
CHARLES MARTIN ERRUSARD DEVILLE
BELLEVUE, WA
NPI
1750671012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60163281)
Enumeration Date
2011-04-07
Last Update Date
2011-04-07
Business Address
Mr. CHARLES MARTIN ERRUSARD DEVILLE LMP
4729 149TH AVE SE
BELLEVUE, WA 98006-3127
Phone number: 425-647-4231
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Mailing Address
Mr. CHARLES MARTIN ERRUSARD DEVILLE LMP
4729 149TH AVE SE
BELLEVUE, WA 98006-3127
Phone number: 425-647-4231
Copy
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