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Organization
LAUREL SPA LLC
Active
Organization
LAUREL SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LI JUN LIU (MEMBER)
(206) 362-3888
Entity
Organization
Contact information
Practice address
13730 LAKE CITY WAY NE, SEATTLE, WA 98125-3692
(206) 362-3888
Mailing address
13730 LAKE CITY WAY NE, SEATTLE, WA 98125-3692
(206) 362-3888
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60100434
WA
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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