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Individual

CURTIS THORNSBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMP

Contact information

Practice address
11419 19TH AVE SE STE A109, EVERETT, WA 98208-5120
(425) 379-2556
Mailing address
3424 NASSAU ST, EVERETT, WA 98201-4143
(425) 760-6125

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60822900
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60822900
WA
Enumeration date
08/08/2018
Last updated
08/08/2018
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