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Individual

CLYDE O MCDADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
11008 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1332
(360) 763-9439
(360) 767-3087
Mailing address
11008 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1332
(360) 763-9439
(360) 767-3087

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00010222
WA

Other

Enumeration date
12/22/2005
Last updated
10/10/2024
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