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Individual
JESSIE CHRISTIANSEN
Active
Individual
JESSIE CHRISTIANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA60428960
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60428960
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200211634WA
—
WA
Enumeration date
12/20/2013
Last updated
12/20/2013
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