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1982248928
BRANDON BOUTAIN
SPOKANE VALLEY, WA
NPI
1982248928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA61007858)
Enumeration Date
2019-11-02
Last Update Date
2019-11-02
Business Address
BRANDON BOUTAIN
12121 E BROADWAY AVE STE 5B
SPOKANE VALLEY, WA 99206-4972
Phone number: 509-921-9800
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Mailing Address
BRANDON BOUTAIN
12121 E BROADWAY AVE STE 5B
SPOKANE VALLEY, WA 99206-4972
Phone number: 509-921-9800
Copy
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