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Individual

MR. GARY H VIGEANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMP

Contact information

Practice address
316 E FOURTH PLAIN BLVD, SUITE B, VANCOUVER, WA 98663-3074
(360) 993-0599
(360) 993-0599
Mailing address
815 E 29TH ST, VANCOUVER, WA 98663-2713
(360) 695-0378

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
11901
OR
225700000X
Massage Therapist
Primary
MA 00020866
WA
225700000X
Massage Therapist
MA00022138
FL

Other

Enumeration date
11/20/2006
Last updated
09/09/2007
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