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Individual

JON VINCENT WASHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6801 RUFE SNOW DR, SUITE 404, WATAUGA, TX 76148-2348
(817) 514-6055
Mailing address
6801 RUFE SNOW DR, SUITE 404, WATAUGA, TX 76148-2348
(817) 514-6055

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
TX

Other

Enumeration date
11/10/2014
Last updated
11/10/2014
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