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Individual
MR. PAUL W HAERTIG
Active
Individual
MR. PAUL W HAERTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.P.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA00009348
WA
225700000X
Massage Therapist
Primary
MA00009348
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00009348
LMP LICENSE #
WA
Enumeration date
03/01/2007
Last updated
11/23/2009
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