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1972872927
SHIVONNE MARIE WYLIE
VANCOUVER, WA
NPI
1972872927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60229724)
Enumeration Date
2011-12-20
Last Update Date
2012-01-11
Business Address
MS. SHIVONNE MARIE WYLIE
1515 BROADWAY ST
VANCOUVER, WA 98663-3433
Phone number: 360-470-4856
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Mailing Address
MS. SHIVONNE MARIE WYLIE
1417 NE 130TH ST
VANCOUVER, WA 98685-3163
Phone number:
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