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Individual
MS. LAURIE KLEMMEDSON
Active
Individual
MS. LAURIE KLEMMEDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00020130
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0203227
L&I NUMBER
WA
01
—
602 511 702 1 1
TAX REGISTRATION
WA
01
—
MA00020130
SATE LICENSE LMP
WA
Enumeration date
08/05/2006
Last updated
07/21/2022
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