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Individual
MR. JONATHAN MICHAEL HANCOCK
Active
Individual
MR. JONATHAN MICHAEL HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.P.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA00023976
WA
225700000X
Massage Therapist
Primary
MA00023976
WA
Other
Enumeration date
10/18/2007
Last updated
03/11/2024
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