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Individual
JULIANN WALTER
Active
Individual
JULIANN WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00010625
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073674388
GROUP NPI NUMBER
WA
01
—
162840
GROUP L&I NUMBER
WA
01
—
176929
INDIVIDUAL L&I NUMBER
WA
Enumeration date
03/06/2007
Last updated
07/08/2007
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