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1780931329
BRIAN LEE WILSON
VANCOUVER, WA
NPI
1780931329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60293278)
Enumeration Date
2012-08-14
Last Update Date
2012-08-14
Business Address
-- BRIAN LEE WILSON LMP
1840 NE 104TH LOOP #7
VANCOUVER, WA 98686-5676
Phone number: 360-609-0641
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Mailing Address
-- BRIAN LEE WILSON LMP
1840 NE 104TH LOOP #7
VANCOUVER, WA 98686-5676
Phone number: 360-609-0641
Copy
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