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Individual
MARK DANIEL MANNING
Active
Individual
MARK DANIEL MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61498599
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA61498599
MASSAGE THERAPIST LICENSE
WA
Enumeration date
01/23/2024
Last updated
01/23/2024
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