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Individual

BRUCE WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMP, LMT

Contact information

Practice address
2950 NW 38TH AVE, CAMAS, WA 98607-9550
(360) 606-3649
Mailing address
2009 NE 98TH LOOP, VANCOUVER, WA 98664-3077
(360) 606-3649

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
7775
OR
225700000X
Massage Therapist
Primary
MA00014741
WA

Other

Enumeration date
02/21/2008
Last updated
11/08/2010
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