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Organization
RANGER DISIABLED INJURY MASSAGE LLC
Active
Organization
RANGER DISIABLED INJURY MASSAGE LLC
Active
Other names
R.D.I.M, R.D.I.M.
Organization subpart
No
Provider details
NPI number
Authorized official
JEBEDIAH SIDES MASSAGE THERAPIST (OWNER)
(360) 949-0133
Entity
Organization
Contact information
Practice address
14010 NE 3RD CT BLDG B, VANCOUVER, WA 98685-2928
(360) 949-0133
(360) 768-5110
Mailing address
4414 NE 115TH ST, VANCOUVER, WA 98686-4479
(503) 739-3565
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
01/06/2025
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