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Individual
MISS PATTI JEAN PILCH
Active
Individual
MISS PATTI JEAN PILCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
#00011635
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011635
LMP#
WA
01
—
118508
LABOR & INDUSTRY #
WA
01
—
752986678-01
KPS #
WA
Enumeration date
04/17/2009
Last updated
04/17/2009
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