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Individual

MR. ANTON OLEGOVICH KRIOUKOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
1200 NE 65TH ST, SEATTLE, WA 98115-6724
(206) 531-0196
Mailing address
11012 86TH AVE NE, KIRKLAND, WA 98034-3550
(310) 877-0358

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60861697
WA

Other

Enumeration date
08/08/2019
Last updated
08/08/2019
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