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1891259040
MICHAEL LEVELL CORNELIOUS
TACOMA, WA
NPI
1891259040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA 60528786)
Enumeration Date
2019-01-22
Last Update Date
2019-01-22
Business Address
MICHAEL LEVELL CORNELIOUS MA,60528786
701 S 19TH ST
TACOMA, WA 98405-4426
Phone number: 253-223-4221
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Mailing Address
MICHAEL LEVELL CORNELIOUS MA,60528786
701 S 19TH ST
TACOMA, WA 98405-4426
Phone number: 253-223-4221
Copy
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