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Individual

CHRIS NOEL IVERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMP

Contact information

Practice address
1303 4TH AVE E, OLYMPIA, WA 98506-4245
(360) 790-5225
Mailing address
1303 4TH AVE E, OLYMPIA, WA 98506-4245
(360) 790-5225

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00018633
WA

Other

Enumeration date
12/28/2006
Last updated
07/08/2007
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