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Individual
KELLY A. SANFORD
Active
Individual
KELLY A. SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00014382
WA
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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