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Individual

EDDIE DEAN ANZALONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA60756602

Contact information

Practice address
17030 SE 1ST ST STE 102, VANCOUVER, WA 98684-8514
(360) 604-1226
Mailing address
215 SW 20TH AVE, BATTLE GROUND, WA 98604-3032
(707) 771-0616

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60756602
WA

Other

Enumeration date
09/07/2017
Last updated
09/07/2017
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