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Individual

CASSIE D COSSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
500 W MAIN ST STE D, CENTRALIA, WA 98531-4252
(360) 623-1214
(360) 623-1215
Mailing address
500 W MAIN ST STE D, CENTRALIA, WA 98531-4252
(360) 623-1214
(360) 623-1215

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00016271
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA00016271
MASSAGE
WA
Enumeration date
02/07/2023
Last updated
02/07/2023
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