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Organization
MICHELLE DRAGOO LMP
Active
Organization
MICHELLE DRAGOO LMP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE DRAGOO LMP (OWNER)
(360) 721-5195
Entity
Organization
Contact information
Practice address
414 PIONEER ST, SUITE A, RIDGEFIELD, WA 98642-4512
(360) 721-5195
(360) 887-2984
Mailing address
PO BOX 214, RIDGEFIELD, WA 98642-0214
(360) 721-5195
(360) 887-2984
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00014675
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0190344
WASHINGTON LABOR AND INDUSTRIES
WA
Enumeration date
08/30/2012
Last updated
08/30/2012
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