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Individual
MOLLY RUTH PETRIE
Active
Individual
MOLLY RUTH PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00024214
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154414761
COLUMBIA MEDICAL ASSOCIATES GROUP NPI NUMBER
WA
Enumeration date
05/13/2008
Last updated
06/10/2008
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