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Individual
PATRICIA L BURGESS
Active
Individual
PATRICIA L BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60235977
WA
Other
Enumeration date
10/03/2012
Last updated
01/16/2014
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