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Individual

MR. GEORGE KAZUMASA TERAMOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMP, MAT

Contact information

Practice address
596 INDUSTRY DR, SUITE 270, TUKWILA, WA 98188-3404
(206) 409-4007
Mailing address
596 INDUSTRY DR, SUITE 270, TUKWILA, WA 98188-3404
(206) 409-4007

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60112428
WA
225700000X
Massage Therapist
MAT4150
HI

Other

Enumeration date
10/07/2009
Last updated
11/08/2010
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