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Individual

MR. DALE C KELLEGREW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
4041 7TH AVE NE, SEATTLE, WA 98105-6402
(415) 912-0284
Mailing address
4041 7TH AVE NE, SEATTLE, WA 98105-6402
(415) 912-0284

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60724929
WA

Other

Enumeration date
01/05/2018
Last updated
01/05/2018
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