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Individual
KRISTIN K O'BRIEN
Active
Individual
KRISTIN K O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00020126
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193033
DEPT OF L&I
WA
01
—
3082MO
REGENCE B/S
WA
01
—
8939816
CRIME VICTIMS
WA
Enumeration date
08/25/2005
Last updated
01/02/2014
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