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Individual
MR. TOMMIE MITCHEL DORAN
Active
Individual
MR. TOMMIE MITCHEL DORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
MA60494697
WA
225700000X
Massage Therapist
Primary
MA60494697
WA
Other
Enumeration date
06/06/2014
Last updated
11/03/2016
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