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Individual
KAREN L. MCCOY
Active
Individual
KAREN L. MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00004647
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60569
LABOR AND INDUSTRIES, WASHINGTON STATE
WA
01
—
MA00004647
MASSAGE LICENSE
WA
Enumeration date
02/24/2010
Last updated
02/24/2010
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