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Individual
JANA M FOSS
Active
Individual
JANA M FOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00005227
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75350
REGENCE BS
WA
Enumeration date
03/13/2008
Last updated
03/13/2008
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