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1942418322
DUYANE LEWIS KELLY
VANCOUVER, WA
NPI
1942418322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA ma00019384)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
Mr. DUYANE LEWIS KELLY lmp
12116 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6000
Phone number: 360-256-5253
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Mailing Address
Mr. DUYANE LEWIS KELLY lmp
12116 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6000
Phone number: 360-256-5253
Copy
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