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1831305606
VASSILI FEDOROVICH LYSSAK
SPOKANE, WA
NPI
1831305606
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00007732)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
Dr. VASSILI FEDOROVICH LYSSAK PhD
2816 E 30TH AVE
SPOKANE, WA 99223-4782
Phone number: 509-535-1219
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Mailing Address
Dr. VASSILI FEDOROVICH LYSSAK PhD
2214 E 32ND AVE
SPOKANE, WA 99203-3996
Phone number: 509-533-1074
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