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Individual
KIM E HOLDER
Active
Individual
KIM E HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00015620
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0164297
LABOR & INDUSTRIES
WA
01
—
239007239006
AWHN
WA
Enumeration date
03/22/2007
Last updated
07/08/2007
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