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1851800551
ANTHONY SHAW
LAKEWOOD, WA
NPI
1851800551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA 60491339)
Enumeration Date
2017-09-25
Last Update Date
2020-02-05
Business Address
ANTHONY SHAW
10209 BRIDGEPORT WAY SW STE B-6
LAKEWOOD, WA 98499
Phone number: 253-678-8825
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Mailing Address
ANTHONY SHAW
10209 BRIDGEPORT WAY SW STE B-6
LAKEWOOD, WA 98499
Phone number: 253-678-8825
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