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1841437019
MAXIM SIMONOVSKY
BELLEVUE, WA
NPI
1841437019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00016523)
Enumeration Date
2009-01-09
Last Update Date
2009-01-09
Business Address
MAXIM SIMONOVSKY LMP
1140 140TH AVE NE STE A
BELLEVUE, WA 98005-2973
Phone number: 425-957-0761
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Mailing Address
MAXIM SIMONOVSKY LMP
1140 140TH AVE NE STE A
BELLEVUE, WA 98005-2973
Phone number: 425-957-0761
Copy
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