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Individual

DIANE BURKHALTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
1200 HARRIS AVE, SUITE 402, BELLINGHAM, WA 98225-7149
(360) 920-4156
Mailing address
1200 HARRIS AVE, SUITE 402, BELLINGHAM, WA 98225-7149
(360) 920-4156

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00014473
WA

Other

Enumeration date
03/25/2007
Last updated
07/08/2007
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