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Individual

MS. BILLIE JO REASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
3827 MINT PL, APT. A-16, LONGVIEW, WA 98632-4976
(360) 442-6317
Mailing address
210 N PACIFIC AVE, KELSO, WA 98626-3414
(360) 442-6317

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00024307
WA

Other

Enumeration date
02/01/2008
Last updated
07/10/2009
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