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1871779991
NICHOLAS ALVIN BERGEN
SPOKANE VALLEY, WA
NPI
1871779991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00024715)
Enumeration Date
2008-01-18
Last Update Date
2008-12-08
Business Address
-- NICHOLAS ALVIN BERGEN
15412 E SPRAGUE AVE STE 17
SPOKANE VALLEY, WA 99037-8841
Phone number: 509-443-3117
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Mailing Address
-- NICHOLAS ALVIN BERGEN
2608 N MARTIN ST
SPOKANE, WA 99207-4953
Phone number: 509-216-3781
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