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Individual
VANESSA K MABRA
Active
Individual
VANESSA K MABRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00011269
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164121
DEPT OF LABOR AND INDUSTR
WA
01
—
8933010
CRIME VICTIMS
WA
01
—
9875MC
REGENCE BLUE SHIELD
WA
Enumeration date
04/12/2006
Last updated
07/13/2026
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