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1801407002
JUTTA FONSECA
OLYMPIA, WA
NPI
1801407002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA61091263)
Enumeration Date
2020-08-11
Last Update Date
2020-08-11
Business Address
JUTTA FONSECA MA61091263
8604 PACIFIC AVE SE
OLYMPIA, WA 98513-2008
Phone number: 253-678-0598
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Mailing Address
JUTTA FONSECA MA61091263
5815 LACEY BLVD SE # 5885
LACEY, WA 98503-2459
Phone number: 253-678-0598
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