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Individual

MRS. CAROL ANN KAKOCZKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
545 RAINIER BLVD N, SUITE 9, ISSAQUAH, WA 98027-2806
(425) 802-2826
(425) 837-0693
Mailing address
545 RAINIER BLVD N, SUITE 9, ISSAQUAH, WA 98027-2806
(425) 802-2826
(425) 837-0693

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 00009890
WA

Other

Enumeration date
07/28/2008
Last updated
02/23/2012
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