DAVID IVAN KISTOL

FEDERAL WAY, WA
NPI1881058006
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  ma60622265)
Enumeration Date2016-04-13
Last Update Date2016-04-13
Business Address
-- DAVID IVAN KISTOL lmp
36907 5TH AVE SW
FEDERAL WAY, WA 98023-7346
Phone number: 206-446-4740
Mailing Address
-- DAVID IVAN KISTOL lmp
36907 5TH AVE SW
FEDERAL WAY, WA 98023-7346
Phone number: 206-446-4740
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