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Individual
MS. TANJA KANOA
Active
Individual
MS. TANJA KANOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00004093
WA
Other
Enumeration date
02/06/2007
Last updated
03/26/2013
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