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Individual
JEROME DEAN ABEL
Active
Individual
JEROME DEAN ABEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, NCTMB
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00021808
WA
376K00000X
Nurse's Aide
NC10054879
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80869
AWHN
WA
Enumeration date
04/10/2007
Last updated
07/18/2007
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