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Organization
STATE OF WELLNESS
Active
Organization
STATE OF WELLNESS
Active
Parent organization
ROBERT LACOSSE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROBERT LACOSSE LLC
Authorized official
KELLY WHITTINGHAM (OFFICE MANAGER)
(971) 806-9595
Entity
Organization
Contact information
Practice address
401 W 13TH ST, VANCOUVER, WA 98660-2806
(319) 325-5579
Mailing address
401 W 13TH ST, VANCOUVER, WA 98660-2806
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60239257
WA
Other
Enumeration date
04/06/2015
Last updated
11/12/2016
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