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1871635003
DEDERA A MIDDERHOFF
PUYALLUP, WA
NPI
1871635003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00020763)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
-- DEDERA A MIDDERHOFF LMP
4111 S. MERIDIAN SUITE F
PUYALLUP, WA 98374
Phone number: 253-273-2792
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Mailing Address
-- DEDERA A MIDDERHOFF LMP
12310 109TH AVE CT E
PUYALLUP, WA 98374
Phone number: 253-273-2792
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