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Organization
PAVONES HOLDINGS, LLC
Active
Organization
PAVONES HOLDINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE LEWIS LMT (MANAGER)
(360) 989-0312
Entity
Organization
Contact information
Practice address
2200 BROADWAY ST STE F, VANCOUVER, WA 98663-3255
(360) 989-0312
Mailing address
720 SE 160TH AVE STE 103-213, VANCOUVER, WA 98684-8911
(360) 989-0312
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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