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Individual
VIRGINIA LYNN CHARD
Active
Individual
VIRGINIA LYNN CHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00016525
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BL01447
POULSBO BUSINESS LICENSE
WA
01
—
MA00016525
STATE LICENSE
WA
Enumeration date
04/27/2007
Last updated
07/08/2007
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