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Individual
MR. ISSAC AMBROSE KONKLER
Active
Individual
MR. ISSAC AMBROSE KONKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60970420
WA
Other
Enumeration date
07/15/2019
Last updated
10/09/2025
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