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Individual
MS. LAURA ANN GILLIAM
Active
Individual
MS. LAURA ANN GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP MASSAGE THERAPY
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024201MA00007028
WA
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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