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Individual

BOBBY LEE ALTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
4206 W 24TH AVE APT A101, KENNEWICK, WA 99338-9311
(509) 847-9183
Mailing address
1554 NE 12TH ST, BENTON CITY, WA 99320-9512
(509) 847-9183

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60970408
WA

Other

Enumeration date
11/12/2019
Last updated
11/12/2019
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