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1902106719
TIMOTHY BLAIS
LAKEWOOD, WA
NPI
1902106719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60190402)
Enumeration Date
2010-10-26
Last Update Date
2010-10-26
Business Address
Mr. TIMOTHY BLAIS
7513 LAKEWOOD DR W APT F-9
LAKEWOOD, WA 98499-3163
Phone number: 253-241-6043
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Mailing Address
Mr. TIMOTHY BLAIS
7513 LAKEWOOD DR W APT F-9
LAKEWOOD, WA 98499-3163
Phone number: 253-241-6043
Copy
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