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Individual

MRS. ANITA LYNN BOSER

Active
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Individual

MRS. ANITA LYNN BOSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP, CHP

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA15897
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0155289
LABOR & INDUSTRIES
WA
01
MA15897
MASSAGE LICENSE
WA
Enumeration date
05/07/2007
Last updated
07/08/2007
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