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Individual
KAT R BLUFF BOPP
Active
Individual
KAT R BLUFF BOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61167718
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA61167718
DEPARTMENT OF HEALTH
WA
Enumeration date
11/08/2021
Last updated
11/08/2021
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