MYRANDA MARY WAGNER

ELLENSBURG, WA
NPI1811340029
Former NameMYRANDA MARY CLARK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA60440395)
Enumeration Date2016-07-22
Last Update Date2016-07-22
Business Address
-- MYRANDA MARY WAGNER
109 S WATER ST STE 2
ELLENSBURG, WA 98926-3061
Phone number: 509-962-2225
Mailing Address
-- MYRANDA MARY WAGNER
109 S WATER ST STE 2
ELLENSBURG, WA 98926-3061
Phone number: 509-962-2225
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