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1811074164
THEODORA A FOGARTY
SEATTLE, WA
NPI
1811074164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00005167)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
THEODORA A FOGARTY LMP
2819 NE 115TH ST
SEATTLE, WA 98125-6706
Phone number: 206-365-6720
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Mailing Address
THEODORA A FOGARTY LMP
2819 NE 115TH ST
SEATTLE, WA 98125-6706
Phone number: 206-365-6720
Copy
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