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Individual
MR. JIMMY LEE ADCOCK
Active
Individual
MR. JIMMY LEE ADCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00019287
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0184210
LABOR AND INDUSTRIES
WA
Enumeration date
01/30/2007
Last updated
07/08/2007
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