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Individual

DOUGLAS CARPENTER TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.P.

Contact information

Practice address
7406 27TH ST W STE 23, UNIVERSITY PLACE, WA 98466-4637
(253) 498-0305
(253) 752-4250
Mailing address
PO BOX 6900, TACOMA, WA 98417-0386
(253) 468-0305
(253) 752-4250

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60213376
WA

Other

Enumeration date
05/20/2011
Last updated
05/20/2011
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