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Individual

ADDISON KLOECKNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
13053 SE 26TH ST APT C206, BELLEVUE, WA 98005-4241
(702) 606-0969
Mailing address
13053 SE 26TH ST APT C206, BELLEVUE, WA 98005-4241
(702) 606-0969

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61501863
WA

Other

Enumeration date
01/16/2024
Last updated
01/16/2024
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