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1851638175
MELISSA IRENE LARSON
LAKEWOOD, WA
NPI
1851638175
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Former Name
MELISSA IRENE HIGGINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00020793)
Enumeration Date
2013-01-07
Last Update Date
2013-01-07
Business Address
Ms. MELISSA IRENE LARSON LMP
7516 BRIDGEPORT WAY W
LAKEWOOD, WA 98499-8448
Phone number: 253-228-4962
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Mailing Address
Ms. MELISSA IRENE LARSON LMP
1224 CORA ST SE
LACEY, WA 98503-2265
Phone number: 253-228-4962
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