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Individual
MRS. REBECCA DEPUTY CROFOOT
Active
Individual
MRS. REBECCA DEPUTY CROFOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00017029
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0261420
LABOR AND INDUSTRIES
WA
01
—
162824
LABOR AND INDUSTRIES
WA
Enumeration date
03/24/2010
Last updated
07/12/2010
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