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Individual
JEFFERY B WANG
Active
Individual
JEFFERY B WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61158410
WA
Other
Enumeration date
06/12/2021
Last updated
07/15/2021
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