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Individual
MRS. KHORE D PHOENIX
Active
Individual
MRS. KHORE D PHOENIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA000098105
WA
Other
Enumeration date
09/04/2007
Last updated
12/23/2011
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