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1992724850
LISA LARAE STAM
VANCOUVER, WA
NPI
1992724850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA 00019362)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
Mrs. LISA LARAE STAM
410 E 20TH ST SUITE #7
VANCOUVER, WA 98663
Phone number: 360-608-1806
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Mailing Address
Mrs. LISA LARAE STAM
17906 SE 16TH ST
VANCOUVER, WA 98683
Phone number: 360-608-1806
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