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Individual

MR. GREGORY WARREN MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMP

Contact information

Practice address
4115 6TH AVE, TACOMA, WA 98406
(253) 752-5052
(253) 752-5052
Mailing address
4115 6TH AVE, TACOMA, WA 98406
(253) 752-5052
(253) 752-5052

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
601989028
WA

Other

Enumeration date
05/30/2012
Last updated
05/30/2012
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