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Individual
MR. PRICE DANIEL NORMAN
Active
Individual
MR. PRICE DANIEL NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.P.
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00001406
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0094712
LABOR & INDUSTRIES DEPT
WA
01
—
030437156
FED TAX ID #
WA
01
—
MA00001406
STATE MASSAGE LICENSE
WA
01
—
NO5146
REGENCE BLUESHIELD
WA
Enumeration date
05/03/2007
Last updated
07/08/2007
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