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Individual
SPRING MECHIAEL MOEN
Active
Individual
SPRING MECHIAEL MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60012558
WA
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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