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Individual

DEBBIE KETCHUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
4129 76TH ST NE, MARYSVILLE, WA 98270-3719
(360) 658-7282
Mailing address
1242 STATE AVE, SUITE I 180, MARYSVILLE, WA 98270-3672
(360) 658-7282

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00012898
WA

Other

Enumeration date
07/25/2011
Last updated
07/25/2011
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