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1922387851
KELLIE JEAN FARACA
TACOMA, WA
NPI
1922387851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60229729)
Enumeration Date
2011-08-09
Last Update Date
2011-08-09
Business Address
Mrs. KELLIE JEAN FARACA LMP
5213 N 9TH ST
TACOMA, WA 98406-2613
Phone number: 206-992-7501
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Mailing Address
Mrs. KELLIE JEAN FARACA LMP
5213 N 9TH ST
TACOMA, WA 98406-2613
Phone number: 206-992-7501
Copy
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