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Individual

JASON J LOMMEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.T

Contact information

Practice address
24909 104TH AVE SE, STE #103, KENT, WA 98030-2819
(253) 850-8163
(253) 850-8164
Mailing address
24909 104TH AVE SE, STE #103, KENT, WA 98030-2819
(253) 850-8163
(253) 850-8164

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00012343
WA

Other

Enumeration date
03/28/2007
Last updated
07/08/2007
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