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Individual

BRUCE R MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA 60231903

Contact information

Practice address
16111 SE MCGILLIVRAY BLVD STE A, VANCOUVER, WA 98683-9033
(360) 254-0994
Mailing address
14002 NE 7TH WAY, VANCOUVER, WA 98684-7341
(360) 852-1765

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60231903
WA

Other

Enumeration date
07/01/2011
Last updated
07/01/2011
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