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Organization
NATURAL MYSTIC
Active
Organization
NATURAL MYSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHONTEL ANGEL MARIE SUTTON HEIM LMP (OWNER/LMP)
(360) 731-5190
Entity
Organization
Contact information
Practice address
131 NE ROY BOAD RD, SUITE A, BELFAIR, WA 98528
(360) 731-5190
(360) 275-4412
Mailing address
PO BOX 2992, BELFAIR, WA 98528
(360) 731-5190
(360) 275-4412
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 00019030
WA
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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