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Organization

BALLAURA INCORPORATED

Active
Other names
Ballaura Massage
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NICOLE B BALL LMP (PRESIDENT)
(360) 539-7726
Entity
Organization

Contact information

Practice address
2413 PACIFIC AVE SE, SUITE D, OLYMPIA, WA 98501-2087
(360) 539-7726
(360) 539-7729
Mailing address
PO BOX 8022, LACEY, WA 98509-8022
(360) 539-7726
(360) 539-7729

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00022961
WA

Other

Enumeration date
10/28/2008
Last updated
04/18/2011
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