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Individual
JOSE ALEX MORENO
Active
Individual
JOSE ALEX MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.P.
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60412373
WA
Other
Enumeration date
06/05/2014
Last updated
04/09/2021
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